Early Learning Program Registration Summer 2025

Early Learning Program
at Reidland Baptist Church
For children one through five years old
Tuesdays & Thursdays, 9:30 AM to 2:00 PM

Summer Session 2025
June 3 - 27
July 8 - 31
(No classes on July 1 - 3)
Registration fee $20 - Tuition $200/month

Registration fee must be paid online to secure your child's place.

Child's Name

Age

Birthdate

Address

Parent 1 Name

Parent 1 Phone

Parent 1 Employer

Parent 1 Work Phone

Parent 2 Name

Parent 2 Phone

Parent 2 Employer

Parent 2 Work Phone

This address will receive a confirmation email

Emergency Contact 1

Emergency Contact 1 Phone

Emergency Contact 2

Emergency Contact 2 Phone

Food allergies, other allergies, medical conditions, or family/custody issues we should be aware of:

Registration Fee (Summer only) $20

Enrollment for each age group is limited. Registration does not guarantee your child's placement. If your child can't be accommodated, you will be notified as soon as possible.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Early Learning Program
at Reidland Baptist Church
5559 Benton Rd, Paducah, KY
For children 1 through 5 years old

Early Learning Program Registration Summer 2025

Description

Please Fix the Following