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Admissions

Please fill out the application form below if you are interested in our preschool.
If you prefer to fill out by hand, please use this link.

Questions?

Please contact Kate O'Connor at 415.526.5307
greatexpectations@lifehouseagency.org

Application

Important Information:
Your child must be must be 3 by September 1 of the upcoming school year.
After your application is accepted, you will receive other enrollment forms (emergency, health, etc.)
which must be completed before your child can be enrolled.
This is mandatory due to our license with the State Department of Social Services.

Child's Name *
Child's Name
Address
Address
Phone
Phone
Date of Birth
Date of Birth
Parent/Legal Guardian 1 Name
Parent/Legal Guardian 1 Name
Address 1
Address 1
Phone
Phone
Mobile
Mobile
Work
Work
Parent/Legal Guardian 2 Name
Parent/Legal Guardian 2 Name
Address
Address
Phone
Phone
Mobile
Mobile
Work
Work
Preference: Days of Attendance *
We offer 5 Days a Week or 3 Consecutive Days a Week
Regular Preschool Hours
8:45am-12:45pm Extended Care Options: Please check preferred Extended Care Options

Please include a one time non-refundable administrative fee of $50 per child.
Ways to pay: 

  • Pay by check made to Lifehouse and mail to us. Include "Preschool admin fee" in the memo line. Mail to Kate O'Connor, 899 Northgate Drive, Suite 500, San Rafael, CA 94903

  • Call our office at 415.526.5300 and pay with a credit card

  • Pay online at http://www.lifehouseagency.org/donate/. Please indicate in the text box that this is an Administrative Fee Payment for Great Expectations.