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Family Pre-K Application Form 2022-2023
Thank you for your interest in the Family Pre-K program.
We look forward to working with you to create a strong partnership so your child can achieve great success.
This application is for the 2022-2023 school year
only.
If you wish to apply for this fall, please submit the 2023-2024 Inquiry Form on our district website
HERE
.
Please do not submit the district enrollment packet until you receive a confirmation email with your child's acceptance into the program.
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* Indicates required question
Please select your preferred elementary school location. You may only choose ONE. If a pre-k site is already full, you will be added to the waitlist.
*
Chase Lake - Mon & Wed, 9 -11 a.m.
Lynndale (AM) - Tues & Thurs, 9 -11 a.m.
Lynndale (PM) - Mon & Wed, 1 - 3 p.m.
Oak Heights - Tues & Thurs, 12:45 - 2:45 p.m.
Spruce - Tues & Thurs, 9:45 -11:45 a.m. (CURRENTLY FULL)
Child's Last Name:
*
Your answer
Child's First Name:
*
Your answer
Child's age:
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Other:
Required
Parent's Name (Parent who will accompany child in class)
*
Your answer
Home Address (please provide complete address with zip code).
*
Your answer
E-mail address (We communicate mainly by email so it is important that the email address you provide is one that you use and frequently check.)
*
Your answer
Phone Number
*
Your answer
Name of Other Adult Accompanying Child (if different from parent)
Your answer
Address of Accompanying Adult
Your answer
Phone number of accompanying adult
Your answer
E-mail address of accompanying adult
Your answer
Does your child have any allergies that we should be aware of?
*
Yes
No
None that we know of
Required
Do you have any concerns about your child's growth and development?
*
Yes
No
Required
If you have concerns about your child's growth and development, please explain.
Your answer
Does your child have any life-threatening conditions?
*
Yes
No
Required
If your child has a life-threatening condition, please explain.
Your answer
Does your child currently attend another preschool program?
*
Yes
No
Required
Do you give permission for your child's photo or video to be used in our Family Pre-K publications and/or website?
*
Yes
No
Required
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