.:Pacific Oaks Preschool - "Where Children's Work is Play" - Rocklin, CA 95677 Ste. F

Pacific Oaks Preschool's Online Application for Enrollment

There is a $50.00 registration fee that must accompany this application. (It is non-refundable.)

Child's Name:
Birth Date:
Address:
Mother's Name
Address:
Home Phone#:
Work Phone#:
Email Address:
Father's Name:
Address:
Home Phone#:
Work Phone#:
Email Address: