Sorrick Preschool Screening Registration Form Spring 2024 
https://bit.ly/3e02Frh: عربى
Polskie: https://bit.ly/3kbQOHr
Español: https://bit.ly/2Z2Ie5j

All families who wish to have their student screened for preschool must complete this registration form and submit the following documents prior to receiving a screening appointment.

  • Child’s Original Birth Certificate

    • If foreign born, passport must also be provided

  • Proof of Residency – You must provide documentation showing you live at the address you provided.  All documents must be current and show the name of parent(s) and an address.  Please provide three of the following documents:  

  • You must provide one document from Category A and two documents from Category B.  

ALL DOCUMENTS MUST HAVE CURRENT DATES.

Category A – One (1) current document

  • Signed lease with proof of payment

  • Current mortgage statement

  • Current real estate tax bill

  • Recent closing – HUD-I Settlement Statement

    *If the custodial parent/guardian is NOT the homeowner/renter a notarized affidavit of residency must be completed.  One document from Category A from the homeowner/renter and two documents from Category B from the custodial parent/guardian are required. Affidavit forms are available upon request.  

Category B – Two (2) current documents

  • Gas bill

  • Electric bill

  • Water/sewer bill

  • Phone bill – cell or home

  • Cable bill

  • Bank statement

  • Car insurance OR vehicle registration 

  • Homeowner OR renter insurance

  • Credit card statement

  • Paycheck stub

  • Change of address from post office

You must also provide the following if applicable:

  • Proof of Government Benefits

    • WIC, SNAP, TANF, SSI/SSA

  • MANDATORY:  Acceptable Proofs of Income (one of the following for both parents living within the same household (if applicable)

    • 2022 income tax return

    • 2022 W-2 form(s)

    • Two most recent, consecutive pay stubs 


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Email *
1) School *
2) Grade Level *
3) The first time is a U.S. school?
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4) Gender *
5) Student First Name *
6) Middle Name *
7) Last Name *
8) Birthdate *
MM
/
DD
/
YYYY
9) Street Address *
10) Apartment/Lot #
11) City *
12) State *
13) Zip Code *
14) Primary Phone Number *
15) Email Address
16) Mother's First Name *
17) Mother's Last Name *
18) Mother's Cell Phone *
19) Custody (Mother) *
20) Lives with Mother *
21) Are you a U.S. Citizen? *
22) Father's First Name *
23) Father's Last Name *
24) Father's Cell Phone *
25) Custody (Father) *
26) Lives with Father *
27) Are you a U.S. Citizen? *
28) Is a language other than English spoken in your home?¿Se habla otro idioma además del inglés en su hogar?  هل لغة أخرى غير اللغة الإنجليزية تحدث في منزلك؟Czy w domu mówi się w języku innym niż angielski? *
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