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Printable Registration Form
Cactus Creek Academy- Registration Form 2026-2027
Child's Information
Child's Last Name
*
Child's First Name
*
Child's Preferred Name
Child's Sex
*
Child's Birthday
*
Month
Day
Year
Age as of September 1st, 2026
*
Address
*
Known Allergies
*
Program Enrolling In
Program
*
Preschool 3's—"Cactus Sprouts"
Kindergarten Prep 4's —"Cactus Scholars"
Preschool Class Days
T/Th
M/W/F
Kindergarten Prep Class Days
M/W/F
M-F
Class Time
*
Morning class 8:30-11:30 AM
Afternoon class 12:30-3:30 PM
Has your child attended Preschool before?
*
Yes
No
If so, when/where?
Parent/Guardian Information
Parent/Guardian Name(s)
*
Parent/Guardian Phone Number
*
Parent/Guardian Phone Number
Child lives with
*
Mother
Father
Both
Other
Emergency Contact(s)
*
Emergency Contact(s) Phone Number
*
Emergency Contact(s) Phone Number
Emergency Contact(s) relationship to the child
*
Are both parents or legal guardians authorized for pick-up?
*
Yes
No
Is anyone else authorized to pick up your child? If so please list them below.
I understand that anyone authorized to pick up my child other than a legal guardian will be required to show a valid photo ID at the time of pick-up.
*
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Photo Release
I give permission for Cactus Creek Academy to feature my child in photographs or videos shared to the school's official social media platforms.
*
Yes
No
I give permission for Cactus Creek Academy to feature my child in photographs or videos shared on the school's official website.
*
Yes
No
I give permission for my child to be photographed and for those photos to be displayed in the classroom.
*
Yes
No
Photo Release Signature
*
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Tuition
I understand that by enrolling my child at Cactus Creek Academy, I am committing to pay the monthly tuition for the duration of the school year (August through May) totaling 10 months of tuition.
*
Yes
No
I understand this monthly tuition is due regardless of number of days attended, including absences, travel, holidays, and closure. Tuition is not prorated.
*
Yes
No
I understand that a $200 non-refundable registration fee is due prior to the start of the school year in order to secure my child's spot in the program.
*
Yes
No
Tuition Signature
*
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Registration Fee
$
200
Submit
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