2019-20 WMPCS Pre-K Day School Forms
The following forms are for Pre-K students at Washington Montessori Public Charter School for the 2019-20 school year.  This year we are requiring all students, returning or new, to complete the forms in order to ensure your contact information is correct and up to date.  These forms will take approximately 5 minutes to complete per family.  If you have any questions regarding the forms please contact the office during our summer hours (Mon - Thurs, 8:00 a.m.- 4:00 p.m.)
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Student's Legal Name: *
Last Name, First Name (i.e.:  Smith, John)
Preferred Name
Gender *
Date of Birth *
i.e.:  01/01/2015
Physical Address -Street Name *
Street Number and Name, Apt. # (i.e.  1500 School Dr.)
City *
(i.e. Greenville)
State *
(i.e. NC)
Zip *
(i.e. 27889)
Mailing Address *
PO Box # or Street # and Name, Apt. #, City, State, Zip
Required
County Where Student Resides *
Required
Home Phone # (if applicable)
(ie: 999-999-9999)
Mother's Cell #
(i.e. 999-999-9999)
Mother's Work #
(i.e. 999-999-9999)
Mother's Email Address
Father's Cell #
(i.e. 999-999-9999)
Father's Work #
(i.e. 999-999-9999)
Father's Email Address
Stepmother's Cell # (if applicable)
(i.e. 999-999-9999)
Stepmother's Email Address (if applicable)
Stepfather's Cell # (if applicable)
(i.e. 999-999-9999)
Stepfather's Email Address (if applicable)
Are there any custody issues or court rulings? *
Are there any medications your child will need to have administered during the school day? *
Has your child suffered from a head injury or concussion within the past year? *
Does your child have an Exceptional Children's Record? *
This would include any IEP, Speech, LEP or 504 services.
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