LVCC's Pre-K Counts ENROLLMENT Registration 2024-2025 School Year

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is for NEW applicants for the Pennsylvania Pre-K Counts program 2024-2025. Please answer the below questions, and a Pre-K team member will be in contact with you. Thank you for your interest in Lehigh Valley Children's Centers.

Email *

Parent/Guardian First Name *

Parent/Guardian Last Name
*

Parent/Guardian cell phone number. *

Child's First Name *

Child's Last Name
*

Child's date of birth *

YYYY

How would you like to receive the Pre-K Counts application? *

Please email me an application.

Please email me an application, and I would like to drop off the application in person.

Do you need extended care options for the Pre-K Counts program?

Yes

I would like more information about this.

Clear selection

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Lehigh Valley Children's Centers, Inc.. Report Abuse

Forms