Phelps Kindergarten Inquiry Form - Spring 2022
If you know of any child who will be 5 years old BEFORE September 1, 2022, please fill out the questions below. If you have more than one child entering Kindergarten, please fill out one form for each child.

Please note, this inquiry form DOES NOT replace enrollment documentation.This form will assist us in preparing our enrollment for the upcoming school year and allow us to send the necessary enrollment materials to incoming kindergarten families.

If you already filled out and submitted the paper version of this form, there is no need to complete the electronic version.

Thank you very much!
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Email *
First Name of Child
Last Name of Child
Name of Parent/Guardian
Address
Parent Phone Number (of incoming Kindergartener)
Parent Email Address (of incoming Kindergartener)
Child's Date of Birth
MM
/
DD
/
YYYY
Place of Birth
Is this child currently enrolled in the Agawam Early Childhood Program?
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Does the child have any preschool experience?
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Primary Language
Thank you for your assistance. Please reach out to Mrs. DiLullo, Phelps School Secretary, at (413)821-0586 or mdillulo@agawamed.org with any questions.
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