Preschool Enrollment

Please fill out the following Pre-Enrollment form for Wishing Well Preschool.
If you have already submitted your enrollment form please click here to pay your enrollment fee.

Required fields marked with

Child's Full Name

Please tell us your child's name

Gender

MaleFemaleItem Required

Birth Date

/ / Please select the date of birth

Child Lives with

Mom & DadMomDadGuardianInvalid Input

Mother/Guardian Name

Invalid Input

Address

Invalid Input

City

Invalid Input

State

Invalid Input

Zip

Invalid Input

Phone #

Invalid Input

Phone Type

Invalid Input

Provider

If you would like text updates from the school please enter your wireless provider below. E.g. Verizon, Sprint, T-Mobile, etc...

Invalid Input

Father/Guardian Name

Invalid Input

Address

Invalid Input

City

Invalid Input

State

Invalid Input

Zip

Invalid Input

Phone #

Invalid Input

Phone Type

Invalid Input

Provider

If you would like text updates from the school please enter your wireless provider below. E.g. Verizon, Sprint, T-Mobile, etc...

Invalid Input

Please check-off your preferred location and enrollment information below.

Location

Wallings RoadStrongsvilleInvalid Input

Program

2 days

3 days

4 day 4's

Young 5's

Invalid Input

Age Group

3's

4's

Invalid Input

Age Group

4's OnlyInvalid Input

Age Group

5's OnlyAsk about extracurricularclasses on Tuesdays.Invalid Input

Days

M W

T Th

Invalid Input

Days

M W F

T Th F

Invalid Input

Days

M T W Th OnlyAsk about extracurricularclasses on Fridays.Invalid Input

Days

M W Th F OnlyInvalid Input

Time

Invalid Input

Online Payment?

YesNoInvalid Input

Please note that you will be redirected to the payment form after submitting this form.

If returning by mail, please send a copy of your enrollment form and registration fee of $70.00 to:
The Enrichment Center of Wishing Well
14574 Ridge Road
North Royalton, OH 44133

FINANCIAL AGREEMENT: I have reviewed the tuition payment schedule and rates provided and agree to pay the amount due in 10 monthly payments on the 1st day of the month as scheduled (a $10.00 late fee is applied to all payments received on, or after, the 11th of the month). I understand tuition is based on enrollment, not attendance. As a result, temporary absences, holidays, snow days, etc. do not reduce any tuition due. If circumstances require me to withdraw my child, I agree to notify the Director, in writing, two weeks prior to our final day at preschool and pay the appropriately pro-rated tuition due. Please do not let your account become over 30 days past due as it may require the Director to withdraw your child from preschool.

IMMUNIZATION: Children attending Wishing Well are required to be vaccinated according to the CDC immunization schedule.  A current immunization record signed by a Pediatrician is to be on file and updated annually.
By signing below, I attest to reading, understanding and complying with Wishing Well Preschools' Financial and Immunization Policies.

Invalid Input

Do you agree to the above statement?

AgreeDisagreeInvalid Input

Please type your full name in the box below. This will serve as your digital signature.

Your Full Name

Invalid Input

Preschool Enrollment Form

The Enrichment Center

North Royalton

Strongsville

The Club Next Door