Nurturing Little Angels of God With Love, Care and Play!

Parent’s Name *

First Name

Last Name

Child’s Name

First Name

Last Name

Date of Visit *

MM

DD

YYYY

Time of Visit *

Hour

Minute

Second

AM PM

Privacy Policy Agreement & Declaration

The confidentiality of your personal data is important to us. By submitting this form, you consent to the collection, use and/or disclosure of your personal data (which includes subsequent correspondences with Shalom Kindergarten) by Shalom Kindergarten for purposes that Shalom Kindergarten deems necessary for the subject matter. Please read our data protection policy, including how you may update your personal data or the degree of consent. through submitting this form, you also declare that the information provided is true to the best of your knowledge and there is no ill or dishonest intent.