Sign up your child or grandchild for the 2026 Play School Season!

All you need to do is complete the following information in the designated spaces.

Please reach out to Frances Young, (314) 566-3948 or fya40@aol.com, if you have any questions.

NOTE: ALL children must be potty trained to attend Play School.

General Information

*Enter your child's name here: (first and last)

Does your child have any food allergies? (if no leave blank)

*How old is your child?

____ 3

____ 4

____ 5

____ 6

* Check off the weeks your child will be attending

____ June 15-19

____ June 22-26

____ June 29-July 3

____ July 6-10

____ July 13-17

____ July 20-24 (1st week of Children’s Pageant practice)

____ July 27-31 (2nd week of Children’s Pageant practice)

Can your child go on Creek Walks?

____ Yes

____ No

Preferred Email Address:

* Will you be picking them up everyday?

____ Yes - do not let them leave without someone

____ No - they may walk home alone

Emergency Contact Information

Contact Information in case of Emergency

* Your Name (Parents or Guardians):

Name (parents/guardians):

* Cottage Name & Address:

* Preferred Phone Number:

Alternative Phone Number: