STATE PRESCHOOL                                                                                                                                                                                
Family Interest Survey         Registration starts: 5/17/2021  
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Email *
Student legal name *
Date of birth *
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Parent/Guardian #1 (Last, First): *
Are you a single parent? *
Parent/Guardian #2 (Last, First) *
Cell Phone Number *
Complete Address *
Does your child have an IEP? *
What is the parents' or guardians' total gross monthly income? *
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Please choose your FIRST school choice. Choose only one *
Required
Please choose your SECOND choice. Choose only one *
Preference for delivery of instruction *
                        Click here for  packet:            https://bit.ly/2EhYmIt.                                        After completing the packet EMAIL IT to martha.fregoso@oside.us.                               REGISTRATION FOR 21-22             STARTS May 17, 2021
A copy of your responses will be emailed to the address you provided.
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