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Jefferson-Morgan: Pre-Kindergarten Application Form
Students are selected by birthdate and services needed
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Email
*
Your email
Names of Parents/Guardians
*
Your answer
Address (Street & Box #)
*
Your answer
Town and Zip Code
*
Your answer
Phone Number
*
Your answer
Cell Number
*
Your answer
Email Address
*
Your answer
Student Name
*
Your answer
Birth Date (Must be 4 years old before 9/1/2024)
*
MM
/
DD
/
YYYY
Parents or Guardians: Please check which apply
*
My child receives services from Intermediate Unit #1
I (We) understand that by entering the Pre-K program, our child will be attending a full day program
Required
I (We) verify that all the information provided is correct (E-Signature by checking the box)
*
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Send me a copy of my responses.
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