MCPS Preschool pre-registration form

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This form allows us to collect information about preschool applicants for the 2021-2022 school year. After we receive your information, we'll reach out to you concerning the next steps. Completing this form does not guarantee a spot in our preschool program.

To qualify for preschool:

• 4 years old by August 1, 2021 and at or under 160% poverty level or have a disability/developmental delay
• 3 years old with a disability/developmental delay
• 4 year olds not qualifying based on income or disability/developmental delay, may apply for potential tuition based spots

All students applying for preschool will be scheduled for a developmental screening.

Child's Name *

Child's date of birth *

YYYY

Parent/Guardian's Name *

Address *

Phone Number *

Email Address *

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