GARDENDALE CHURCH OF GOD

Welcome Home to Your New Church Family

OPEN REGISTRATION

We have an excellent state-licensed pre-school program.  Sessions are held September through May on Monday, Wednesdays and Fridays 9 am to 11:45.  Your child must be 3 yrs by Sept 1 and potty trained.  If you would like to register, PLEASE PRINT THIS PAGE, fill out the form below and mail with your registration fee of $60.00 to 4130 Spencerville Road, Lima, Ohio  45805.  If you would like more information, contact Joyce Hutchison at 419-999-2936 or 419-302-9500


CHILD'S NAME_________________________________DATE_________________

PARENT/GUARDIAN NAME_____________________________________________

CHILD'S BIRTH DATE_______________________

ADDRESS__________________________________________________________

CITY____________________STATE____________________ZIP______________

PHONE NUMBER___________________________

PARENT/GUARDIAN PLACE OF EMPLOYMENT____________________________

ADDRESS_________________________________________________________

WORK PHONE_____________________________

SIGNATURE________________________________________________________

Please submit this form and $60.00 non-refundable pre-registration fee to

Gardendale Pre-school

Attn:  Joyce Hutchison

4130 Spencerville Road

Lima, Ohio  45807