Preschool Registration Form

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Spring Preschool Registration will be open from February 17-June 1. Please complete the form below for Preschool Registration. The Preschool Coordinator will then contact you to schedule a time the week of June 1st to complete the required paperwork and screening process with your child. If you have questions regarding Preschool Registration, please contact Mrs. Sampson, Preschool Coordinator at the administration offices 330-679-2343 ext. 4100 or by email at kristy.sampson@omeresa.net. Please make sure to leave your name, child's name, and contact phone number. Thank you!

Email *

Parent or Guardian First and Last Name *

Address: *

Parent or Guardian Phone Number *

Child First and Last Name *

Child's Current Age *

3 Years Old (Morning Preschool Program if space allows)

4 Years Old

5 Years Old

Child's Birthdate *

Special Services

My child doesn't have an IEP requiring special services

My child has an IEP requiring special services

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Southern Local has 3 sessions for Preschool. Spots are reserved for children 4-5 years old. We will accept 3-year-old students if there are open spots after registration is complete. Session availability is on a first come first serve basis. Please mark your preference for the session for your child to attend. We will try to accommodate you. *

Morning Session (9:00-11:45)

Afternoon Session (12:30-3:15)

Full Day session is Full at this time- If you choose this option, you will be placed on a waiting list in the event that a spot opens, Mrs. Sampson would call you.

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