2024-25 Preschool Pre-Enrollment
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Email *
Student Legal Name (First, Middle and Last)
As listed on Birth Certificate
*
Birth Date 00/00/0000 *
Student Household Address:
(Enrollment in our preschool program does not require Allen Park residence)
*
Birthplace:  (City, State, Country) *
Gender *
Hispanic/Latino *
Race *
Language (Primary) *
Language (Home) *
Parent/Guardian #1 - Full Name (First, Last) *
Parent/Guardian #1 - Home Address *
Parent/Guardian #1   - Cell Phone *
Parent/Guardian #1   - Home Phone
Parent/Guardian #1   - Email *
Parent/Guardian #2  - Full Name (First, Last) *
Parent/Guardian #2 - Home Address
*
Parent/Guardian #2   - Cell Phone
*
Parent/Guardian #2   - Home Phone
Parent/Guardian #2  - Email
*
Has or will your child receive any special education services or programs at school? *
If so, please explain:
Will Before Care and/or After Care services be requested? *
Required
First Preference *
Second Preference *
My child will be 4 by September 1, 2024 and I’m interested or have already been screened for enrollment in free 5 full day preschool (GSRP).
*
A copy of your responses will be emailed to the address you provided.
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