FIREFLY Registration

FIREFLY Registration 2022-23
Montessori Preschool (age 3-4) Tuesday/Thursday 9:00-12:00

* Indicates required field

Name of student *

First

Last

Name of parents *

First

Last

Student's age as of September 1 *

Parent Email *

Birthday month *

Day *

Year *

Primary Phone Number *

Additional Phone Number *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Does your student have any allergies or dietary restrictions we need to be aware of? *

Payment Options *

How did you hear about Family Lyceum? *

Thank you for registering for FIREFLY! Anything else you want us to know? *