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2021-2022 Smart Start Preschool Registration
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* Indicates required question
Student Information
Child's Full Name:
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Your answer
Birthdate:
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MM
/
DD
/
YYYY
Gender:
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Female
Male
Street Address:
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Your answer
City:
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Your answer
State:
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Your answer
Zipcode:
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Your answer
Father's Name:
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Your answer
Phone:
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Your answer
Work phone:
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Your answer
Cell Phone:
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Your answer
Mother's Name:
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Your answer
Phone:
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Your answer
Work Phone:
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Your answer
Cell Phone:
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Your answer
Family Email:
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Your answer
Child Resides with:
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Both Parents
Mother
Father
Required
Class Options
*Students must be of age by September 1 of enrolling school year and toilet trained.*
*Depending upon enrollment numbers, we may combine into one MWF class if we don't have enough kids enrolled in both classes.*
Check Desired Class:
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3 Year Olds (Tuesday/Thursday) Classes run from 8:15 AM-11:15 AM
4 & 5 Year Olds (Monday/Wednesday/Friday) Classes run from 8:15 AM-11:15 AM
Financial assistance is available through Ellsworth Public School for those that qualify. Funds are limited.
Bussing Options
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No Bussing needed
Morning Pick-up
Drop Off
Registration Deadline- June 1st
$25 registration fee (if registered by June 1st)
$35 registration fee (if registered after June 1st)
Tuition: $60/month (T/TH)
Tuition: $90/month (M/W/F)
Please send completed form and registration fee to: (checks payable to Ellsworth Public School)
Ellsworth Public School
P.O. Box 8
Ellsworth, MN 56129
507-967-2242
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