Angels Watching Over Me Academy

Online Registration Form

Please fill out this registration form to start the registration process.

Date:		Date of Enrollment:
Child's Information
Child's Name:		Nick Name:
Age:	Date of Birth:	Male: Female:
Home Address:

Parent's Information
Parent’s/Guardian’s Name:		Home Phone:
Home address (if different from Child’s)
E-Mail Address:		Cell Phone:
Place of Employment:		Work Phone:
Address of Employment:		Work Fax:
Work Hours:
Please type the characters you see in the picture below:

Angels Watching Over Me Academy
687 Old Hickory Blvd.
Brentwood, TN 37027
(615)309-8400