4K Site Preference Form (Class of 2038)
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Email *
Student First Name: *
Student Last Name: *
Parent/Guardian completing this form: *
Contact Phone: *
Contact Email: *
What is the student's address in our district? *
If you are out of the district, open enrollment paperwork must be completed prior to registration through the district office. 
Do you anticipate the need for school bus transportation? *
Do you anticipate the need for childcare? *
If you answered yes to the previous question, please share the location for childcare. If not determined yet, please indicate that you are still in need of securing childcare. 
Do you prefer the AM or PM session ? *
What is your preference of where you would like your student to attend classes? *
AM Mosinee Pre-School at St John's
PM Mosinee Pre-School at St John's
AM Story Book Kids on Maple Ridge Road
AM Mosinee Elementary School
PM Mosinee Elementary School
Head Start K.M. Czech Center
First Preference
Second Preference
Third Preference
Fourth Preference
Fifth Preference
Please share any additional information that may be important to meet your child's needs. 
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