Hannah Cole Preschool Enrollment 2023- 24
Please fill out this survey as part of your child's preschool enrollment. Child must be 3 and potty-trained before August 1st to enroll.

Preschool Handbook: https://docs.google.com/document/d/1FbiF5uVME3OZHB8QpdVDEdot4OHGsh3WndIRaysZEKo/edit?usp=sharing
Email *
Child's Name (First, Middle and Last Name) *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Hispanic *
Race *
Name of Parent/Guardian *
Relationship to Child *
Address *
Home Phone/Cell Phone *
E-mail Address *
Spouse's Name
Relationship to child
Spouse's Cell Phone number
Emergency Contact #1 - Name (Person other than parent) *
Emergency Contact - Phone number *
Relationship *
Emergency Contact #2 - Name (Person other than parent)
Emergency Contact #2 - Phone Number *
Relationship *
The following questions will help us determine the tuition bracket you fall into.
How many people live in your household?  For the purpose of this question, a household  means a group of  people who may or  may not  be related and who do  not live  in an  institution or  a  boarding house, but who are living as one  economic group.   Students who are temporarily  away at school should be counted as members of the family; however, students who are full-time residents of an institution are considered a family of  one. *
Free tuition eligibility is determined by federal guidelines.  Gross income means income before deductions for income taxes, employee's social security taxes, insurance premiums, charitable contributions, bonds, etc. In applying guidelines, the family's current rate of income should be used in determining eligibility.

Household Gross Income: 
 *
Student Information
Please check those that apply: *
Required
Has your child ever been enrolled in Parents as Teachers *
Is your child potty-trained?  
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Has your child ever been medically diagnosed as:
Please check all that are applicable to your child's household
Please check any area below in which you have a concern for your child.  Leave blank if you have no concerns.  
If you indicated an area of concern above please explain what that concern or concerns are.  
Please share  any other information about your child you feel it is important for us to know.
A copy of your responses will be emailed to the address you provided.
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