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Application Queue 2024-2025
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* Indicates required question
Class
*
3 year olds (Must be 3 on or before Sept. 1, 2024 to be eligible for the 2024-2025 school year)
4 year olds (Must be 4 on or before Sept. 1, 2024 to be eligible for the 2024-2025 school year)
Child's FIRST Name
*
Your answer
Child's LAST Name
*
Your answer
Child's Birth Date
*
MM
/
DD
/
YYYY
Child's Preferred Pronoun
*
He
She
They
Other:
Caregiver #1 Name
*
Your answer
Caregiver #1 Phone Number
*
Your answer
Caregiver #1 Email Address
*
Your answer
Caregiver #2 Name
Your answer
Caregiver #2 Phone Number
Your answer
Caregiver #2 Email Address
Your answer
Home Address
*
Your answer
Home City
*
Your answer
Home State
*
Your answer
Home Zip Code
*
Your answer
Is your child currently receiving any Early Intervention Services?
*
Yes
No
If yes, what services?
Your answer
Do you have any concerns or observations about your child's health, development or behavior that we should be aware of?
Your answer
Does your child have any allergies that we should be aware of?
Your answer
Thank you
This information will be used to help determine the needs of each child and our ability to provide the appropriate resources, develop curriculum, maintain school safety and make adjustments to the classroom.
How did you find out about Hancock Street Preschool?
*
Word of Mouth
HSP's Website
Flyer
PCPO
Facebook
PDX Parent Website
Other
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