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Application for Preschool Enrollment 2021-2022
Please complete the form below. The Board of Education will review the application and office personnel will contact you with confirmation. Additional information will be requested upon approval. Thank you.
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Email
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Your email
St. Paul's Lutheran School
311 14th Avenue South
Wisconsin Rapids, WI 54495
STUDENT INFORMATION
First Name
*
Your answer
Middle Name
*
Your answer
Last Name
*
Your answer
Gender
*
F
M
Date of Birth
*
MM
/
DD
/
YYYY
Preschool Options [ 3K - Must be 3 by Sept. 1 and toilet trained] [4K must be 4 by Sept. 1]
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3K 3 days (T, W, TH) 8:30-12:00
3K 5 days (M-F) 8:30-12:00
4K 3 days (T, W, TH) 8:30-3:30
4K 5 days (M-F) 8:30-3:30
Will you need before school or after school care?
*
Childcare is not needed
Before school care is needed
After school care is needed
Required
Residence
Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Residence of Child
*
Child lives with both father and mother
Child lives with father
Child lives with mother
GUARDIAN INFORMATION
Father
First Name
*
Your answer
Last Name
*
Your answer
Phone (include area code)
Your answer
Email Address
Your answer
Mother
First Name
*
Your answer
Last Name
*
Your answer
Phone (include area code)
Your answer
Email
Your answer
Siblings
Name and age of siblings
Your answer
Home Church
Identify your home church. Write "none" if you do not have a home church
*
Your answer
Does your family attend church regularly
*
Yes
No
Are you interested in attending a class to explore membership at St. Paul's?
Yes
No
Maybe
Clear selection
Does your child have any special needs of which we should be aware? Describe.
Your answer
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