HS Register - Shalom Preschool of Fort Lauderdale
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HS Register

  • Child's Information

  • Mother's Information

  • Father's Information

  • If a parent and/or child is a convert, please submit conversion forms.

  • Emergency

  • I authorize all medical transportation, medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures which may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency.


    I allow my child to be photographed and for the photos to be used in print, video and digital media.

  • Payment

  • $900 Annual Tuition 

  • Credit Card
    Billing Address
  • For scholarships or financial assistance, please call the office. 

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