Wales Elementary School

41 Main Street / P.O. Box 24

Wales, MA  01081

Richard R. Zinkus                                                                                                                 Phone:  413-245-7748

Principal                                                                                                                                       Fax:  413-245-4422

                                                                                                                                                www.tantasqua.org/wales

Preschool Pre-Registration Form

   Child's Full Name: _____________________________________________________

    Parents' Names: _______________________________________________________

    Street Address: _______________________________________________________

    Mailing Address: ______________________________________________________

    Home Phone: __________________________________________________________

    Child's Date of Birth: __________________________________________________

Preferred Session:            2 Day        3 Day        5 Day