Mat-Su Central Kinder Kick-Start Interest Form FY21
The information collected in this form is confidential and will be utilized by Mat-Su Central staff only.  This program is currently grant funded, so we don't know what this will look like next year.  Kinder Kickstart will be held at our Palmer Office next year, which is downtown across from the depot. By filling out this form you are letting us know you are interested in the pre-school program.  Filling out this form does not automatically mean you will be accepted.  This program prioritizes students that turn four years old before September 1st of 2020.  

Sign in to Google to save your progress. Learn more
Email *
-Child's First Name *
Child's Last Name *
Child's Age (as of September 1st, 2020) *
Child's Birthday (Child must be 4 by September 1st.) *
MM
/
DD
/
YYYY
Parent or Guardian Name *
Phone number *
My child is: *
My child is potty trained *
Which are you most interested in.  This is for us to get an idea of what the need is for next year.   *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Matanuska-Susitna Borough School District. Report Abuse