Pre-K Pre-Enrollment Form    
This form is to be completed for Pre-K students who reside within the Bethel Public School District.  Please fill out the following information to save a spot for the 2022-2023 school year.  Spots are limited and will be filled on a first come, first serve basis.

Requirements to fill out this form:
1. Student must reside in the Bethel Public School District.
2. Student must be 4-years-old by September 1, 2022.  

To finalize your enrollment, you and your child will come in person on Wednesday, April 20, 2022.  At this time, parents must provide proof of residency (current 2022 utility bill - water, electric, or natural gas), as well as your child's birth certificate, immunization records, and CDIB card (if applicable).  Our office staff will call you to schedule an appointment for April 20, 2022.
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Email *
Student's Name (first and last) *
Do you reside in the Bethel School District? *
Student's Date of Birth (month, day, year) *
Age of Student *
Address (Please include city.)   *
Parent/Guardian's Name *
Parent/Guardian's Phone Number *
Alternative Phone Number *
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