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Studen't
2020-2021
This is not an actual enrollment but a pre-registration to give us information about potential incoming preschool and Head Start students.
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Option 1
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Student's Legal Name: Mila Woolums
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Student's Birthdate: 10/25/2017
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Gender: Female
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Female
Male
What will your child's age be on August 1, 2021: 3
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Home Address: 102 East Adair St. Apt. 5 Owenton, KY
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Parent or guardian: Katelin Boling
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Alternative Contact Name and Phone number: Lisa Boling-859-814-7313
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List any medical, health and/or learning, motor, communication, or social: Lisp
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Any additional information that you would like for us to know:
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These are the required documents that you will have to submit for preschool:
Current Kentucky Certificate of Immunization
Birth Certificate from the Office of Vital Statistics
Kentucky Preventive Health Care Examination Form (School Physical)
Kentucky Eye Exam Form for School Entry
Kentucky Dental Screening / Examination Form for School Entry
Medical Card / Insurance Card
Social Security Card (Optional)
Income Verification Form to Include 2019 Tax Returns, Statement from Employer, Two Consecutive Pay Stubs
Proof of Residency
Custody Documents / Court Documents - Educational Decision-Making Rights
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