You can submit your form online NOW...see below or download and print a copy to mail in or bring to our administrator in person!


    100 Myrtle Avenue Mahopac, NY 10541
  • Student Information

  • Only if different from Home phone number
  • Date Format: MM slash DD slash YYYY
    students date of birth
  • Parent's Information

  • Father's information
  • Occupation
  • (Occupation)
  • Medical Information

  • Program Selection for this Applicant

  • Please select Before and After Care Program if you will be registering your child for this extra service or Not Applicable if this does not apply to your registration.
  • Please indicate your school district.
  • Price: $100.00
    Non-Refundable Fee can be paid by check (Payable to: Country Knolls Preschool) OR CASH Payments ONLY via VENMO to Cell # 917-734-6061. Sorry we do not accept Credit Cards.
  • $0.00

Country Knolls Preschool Forms you can download and print