CHSD 218 Preschool Application
Community High School District 218 offers a developmentally appropriate, affordable preschool program for children ages 3 and 4. Enrollment is limited, so apply soon.

Enrollment Guidelines:

1. Children must be 3 or 4 and toilet trained.
2. A completed, official health form signed by a physician will be required at the start of the first session. This form should include immunization records.
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Child's last name *
Child's first name *
Child's birth date *
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Child's gender *
Address (street, city, zip code) *
Children in family (in order of birth): Please include the child's name and age. *
Father's name (Last name, first name) *
Father's phone, email, and address if different than child *
Mother's name (Last name, first name) *
Mother's phone, email, and address if different than child *
Emergency Contact #1: Include name, phone number, and relationship to child   *
Emergency Contact #2: Include name, phone number, and relationship to child   *
List individuals authorized to pick up child after school: Include name, phone number, and relationship to child.
Child's Physician (Name and phone number)
May the school contact your physician, if necessary? Please understand if a non-emergency, medical situation arises, we will first contact the school nurse.
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Has your child attended school elsewhere? *
If your child has attended school, where did they attend and when?
Please list any information you feel we should know about your child (such as allergies, fears, physical handicaps, speech difficulties, behavior concerns, etc.).
I hereby give my consent to the Early Childhood Education teacher to take my child on walking trips around the school and immediate area, with the understanding that such trips are under the supervision of authorized personnel and that all possible precautions are taken to insure the health and safety of my child.  Enter name for consent.
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