Humboldt Community School District                                                                                   Mease Elementary                                                                   4 Year Old Preschool Program                            (2021-2022 School Year)
Thank you for your interest in enrolling your child in Preschool at Mease Elementary. Your child must be 4 years old by September 15, 2021 to enroll for the 2021-2022 school year.

Please complete the form below so we will have basic information about the student. There will be an official REGISTRATION process that must be completed during district registration in August.

You will receive specific details about NEXT STEPS after completing this form.

Please feel free to contact Principal Lora Kester at lkester@humboldt.k12.ia.us or Michelle Thomas, Mease Secretary at mthomas@humboldt.k12.ia.us OR reach us by phone at (515) 332-3578.


Email *
Child's Legal First Name *
Child's Legal Middle Name *
Child's Legal Last Name *
Child's Date of Birth (xx/xx/xxxx) *
What is your child's gender? *
Is your child Hispanic or Latino? *
The Iowa Department of Education requires school districts to collect ethnicity information on all students.
What is your child's race? *
Please choose any/all answers that apply.
Required
Parent's First Name *
Parent's Last Name *
Phone Number *
Address *
City *
State *
Zip Code *
Email Address *
We offer classes A.M. (8:10-11:10) and P.M. (12:10-3:10) four days a week (Mondays, Tuesdays, Thursdays, and Fridays).  Please indicate your session preference. Sessions will be assigned on availability basis. *
Please list the name(s) of any preschool(s) your child has attended.
Mease Preschool Open House Orientation will be held on Monday, March 1st from 4:30-7:00.  You will receive an email invitation to sign up for a time slot. Please list any additional questions or comments below.
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