Fulton County Preschool/Head Start                     Registration Interest Form
Thank-you for your interest in our Preschool/Head Start program.  To be considered for Preschool/Head Start Registration a child must be 3 or 4 years old on or before August 1, 2022.   If you would like to submit information for more than one child, complete a form for each child. Please complete the information listed below and a staff member will contact you within two weeks.  Again, thank-you for your interest in our program.
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Email *
Primary Adult/Guardian First Name *
Primary Adult/Guardian Last Name *
Child's First Name *
Child's Last Name *
Child's Date of Birth *
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Street Address (Living Address) *
City *
Phone Number
Can we text you at this number?
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Preferred method of contact.  This is how you will be contacted by Preschool Staff *
We appreciate your interest in our Program.  Thank You for completing this form.  A Preschool Staff member will be contacting you in the next two weeks.
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