Day School Registration 2025-2026

Please fill out this form and click submit.

Once your child's registration has been accepted and approved, pending classroom space, you will be required to pay the $100 registration fee and complete an ACH form to reserve your child's spot.

A copy of your child's immunization record is required to be on file with us before school begins. You may email or mail it to First Pres Day School, 308 W Fisher St, Salisbury, NC 28144.

Child's full name

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Child's full date of birth

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Child's age on Aug 31, 2025 (This will determine their class.)

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Please select one option.

1 2 3 4

Child's primary address

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Person(s) your child lives with

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Please select all that apply.

Mom Dad Mom and Dad Guardian Other

Mother/Guardian's name

Mother/Guardian's cell number

Mother/Guardian's email

Father/Guardian's name

Father/Guardian's cell number

Father/Guardian's email

Emergency Contact #1 with permission to pick up your child

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Emergency Contact #1 cell number

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Emergency Contact #1 Relationship to your child

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Please select one option.

Grandparent Other Relative Friend Babysitter/Nanny

Emergency Contact #2 with permission to pick up your child

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Emergency Contact #2 cell number

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Emergency Contact #2 Relationship to your child

*

Please select one option.

Grandparent Other Relative Friend Babysitter/Nanny

Child's allergies

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Symptoms of these allergies

Response required for allergic reactions

Health/medical conditions

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Symptoms for these medical conditions

Response required for these health/medical conditions

Additional information you would like to share about your child

Signature

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Description

Please fill out this form and click submit.

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