2023-2024 Preschool Registration Form

In order to register for preschool, you must have a 2023/2024 Silver Springs Community Association membership. If you do not have a membership, you will receieve an error message. To purchase a membership, click on "Manage Membership" at the top of the screen.

If you do not have a current membership, you will only be able to access our waitlist.

After you have completed your registration, you will receieve an email confirmation which will contain additional documents that you must complete and return to the SSCA.

For 2023/2024, all of our PUF funded spots in our 3 and 4 year old programs are currently full. PUF funding is addition support for students including speech and language therapy, occupational therapy.

* Membership Type

Wait List 2023-2024 Preschool Registration 3PM Class $100 non refundable registration fee 3PM classes meet on Tuesday and Thursday afternoons
Wait List 2023-2024 Preschool Registration 3AM Class $100 non refundable registration fee 3AM classes meet on Tuesday and Thursday mornings
Wait List 2023-2024 Preschool Registration 4AM Class $100 non refundable registration fee 4AM classes meet on Monday/Wednesday and Friday mornings
Wait List 2023-2024 Preschool Registration 4PM Class $100 non refundable registration fee 4PM classes meet on Monday/Wednesday and Friday afternoons
Wait List 2023-2024 Preschool Registration 4 FULL DAY Class $100 non refundable registration fee 4 FULL DAY classes meet on Monday/Wednesday and Friday

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

* Do you have any development concerns (example: speech)?

* Have you ever accessed speech or behavioral services for your child?

* Child's last name

* Child's first name

* Address

* Phone number

* Gender

* Birthdate

* Immunizations( up to date)?

* Allergies

* Other Health/Medical

* Parent/Guardian 1 Name

* Parent/Guardian 1 Address

* Postal Code

* Parent/Guardian 1 Phone

* Parent/Guardian 1 Email

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

* Emergency Contact 1 Name

* Emergency Contact 1 Address

* Emergency Contact 1 Cell Phone

* Emergency Contact 1 Relationship to Child

* Emergency Contact 2 Name

* Emergency Contact 2 Address

* Emergency Contact 2 Cell Phone

* Emergency Contact 2 Relationship to Child

Payment System

Credit Card Payment via Stripe Credit Card Payments

Phone Number

* Your E-Mail Address

a confirmation email will be sent to you at this address

Address Information

* Street

* City

* Country

* State

* ZIP Code