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2020 Leaps and Bounds Sensory Preschool Interest Form
Our 2020-21 Class is full at this time- please complete this form if you are interested in being added to our waitlist or for the 2021-2022 School Year!
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Email
*
Your email
First and last name (person filling out this form)
*
Your answer
Address
*
Your answer
Phone
*
Your answer
Relationship to child
*
Your answer
First and last name of child
*
Your answer
Is your child currently enrolled in another program? (Please include what program if applicable)
*
Your answer
Child's date of birth
*
MM
/
DD
/
YYYY
Child's Preferred Gender
*
Female
Male
Other:
Required
What year will your child be attending kindergarten?
*
2021/2022
2022/2023
Other:
What preschool(s) or programs has the child attended in the past?
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Your answer
What kindergarten/elementary school(s) are you considering sending your child to? (separate schools with commas)
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Your answer
Does your child currently or previously attend any type(s) of therapy services?
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No.
Yes, currently.
Yes, previously.
If you answered yes above, please tell us what type(s) of therapy (occupational, speech, physical, etc) below and for how long.
Your answer
Why are you interested in having your child attend a sensory and social-emotional based preschool?
*
Your answer
How did you hear about Leaps and Bounds Preschool?
Your answer
Send me a copy of my responses.
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