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2020-21 Preschool Pre-Registration
This not an actual enrollment but a pre-registration to give us information about incoming preschool and Head Start students.
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* Indicates required question
Parent Name:
*
Your answer
Student Name:
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
Gender:
*
Male
Female
What will your student's age be on August 1, 2020:
*
Your answer
School of Attendance:
*
Northside
Southside
Eastside
Westside
Community Action
Combination of Preschool and Head Start
Required
Which session do you prefer:
*
AM
PM
Required
Address:
*
Your answer
Contact Name and Phone Number:
*
Your answer
Alternative Contact Name and Phone Number:
*
Your answer
List any medical, health and/or learning concerns such as speech that we need to know about your student:
*
Your answer
Any additional information that you would like for us to know:
*
Your answer
These are the required documents that you will have to submit for preschool:
Eye Exam
Physical
Up to date immunizations
Medical card
Birth Certificate from the Office of Vital Statistics Kentucky
Income verification to include 2019 tax returns, statement from employer, two consecutive pay stubs
Option 7
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