JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Exira-EHK Preschool Interest Form 23/24 PreSchool
If your child will be 4 on or before Sept. 15, 2023 and you are interested in registering them for preschool please fill out the following form. This does NOT guarantee registration.
Preschool meets Monday, Tuesday, Thursday, Friday - NO WEDNESDAY
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Child's Full Name
*
Your answer
Child's Birthday
*
MM
/
DD
/
YYYY
Child's Gender
*
Female
Male
Parent/Guardian Name/s
*
Your answer
Phone Number 1
*
Your answer
Phone Number 2
Your answer
Physical Address
*
Your answer
Mailing Address (if different from physical)
Your answer
Class Preference
*
AM 8:15-11:15
PM 12:15-3:15
No preference
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Exira-EHK School.
Report Abuse
Forms
