Pre-Kindergarten Registration Form

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Please complete this form if you have a child that is 4 years old on or before Sept. 1st, 2021. In August, we will need proof of residency, the official birth certificate, social security card, shot record, parent's driver's license, and July pay stubs or SNAP/ TANF documents. Other documentation may be required for qualification (example: DoD for military, DFPS letter for foster, etc.) Registration deadline June 10, 2021.

Email *

Child's full name as it appears on the birth certificate.

Child's birthdate

YYYY

Mother's full name (or guardian). *

Father's full name (or guardian). *

Residential address

Parent/Guardian Phone Number

Please check all that you think applies to your child...

is unable to speak and comprehend the English language

is educationally disadvantaged: which means a student eligible to participate in the national free or reduced-priced lunch program. (Guidelines found at the USDA website: Income Eligibility Guidelines.)

is homeless

is the child of an active duty member of the armed forces of the United States, including the state military forces or a reserve component of the armed forces, who is ordered to active duty by proper authority

is the child of a member of the armed forces of the United States, including the state military forces or a reserve component of the armed forces, who was injured or killed while serving on active duty

is or ever has been in the conservatorship of the Department of Family and Protective Services (foster care)

is the child of a person eligible for the Star of Texas Award as: a peace officer

receives special education services (example: occupational therapy, physical therapy, speech, etc.)

Any special information that we should know about your child before August 2021 so that we can ensure your child's needs are met. (medical issues, custodial arrangements, special needs, etc.)

A copy of your responses will be emailed to the address you provided.

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