Preschool Online Registration2019-02-26T21:46:27-05:00

Fill out the form below to register.


Mother/Guardian's Information

Father/Guardian's Information

Medical Information

In Case of Emergency

In case of emergency, name 2 local persons who will assume responsibility for your child if you cannot be reached.

Pick Up Information

List the persons (other than parents) who are authorized to pick up your child. A written permission slip must be on file before anyone other than the following people can pick up your child.

Payment Information

Tuition for our 4-day/week program (Monday - Thursday, 9-11am) for 3 & 4 year-olds is $195.00 per month, due on the first day of each month.
Fees may be mailed to:

Westminster Church
2821 N Bell School Rd
Rockford, IL 61107
Attn: Westminster Preschool

What is 7+4?

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