Laura Vicuña Pre-K Admissions 2021-2021 or 2022-2023
Sign in to Google to save your progress. Learn more
Email *
Which year are you applying for *
PRE-K 3’s ENROLLMENT OPTIONS (please indicate your preference with a check mark). I am aware that there are approximately eight 12:15 dismissals noted on the yearly calendar that I will need to make alternative care arrangements for my child.        
PRE-K 4’s ENROLLMENT OPTIONS (please indicate your preference with a check mark). I am aware that there are approximately eight 12:15 dismissals noted on the yearly calendar that I will need to make alternative care arrangements for my child.        
Child Name (last, middle, first) *
Child's Preferred Name (i.e. Charlie instead of Charles)
Child's Home Address, City, Zip *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Place of birth *
Father / Guardian Name (Last, Middle, First) *
Occupation *
Place of Birth *
Business Name & Address *
Work Phone *
Cell Phone *
Email Address *
Mother / Guardian Name (Last, Middle, First) *
Occupation *
Place of Birth *
Business Name & Address *
Work Phone *
Cell Phone *
Email Address *
Child lives with *
If divorced or separated, who has custody? Please provide documentation. *
Your Pre-K 3’s child must also be toilet trained in order to attend Pre-K 3’s. Is your child toilet trained? *
Please list names and ages of siblings.
If Catholic, please list your Parish (name, location).
Applicant’s Roman Catholic Baptism Date
MM
/
DD
/
YYYY
Baptism Church, City, State
If accepted to the Pre-K, do you plan to send your child to Saints Peter and Paul School? *
Name of preschool / daycare my child is currently attending.
Director / teacher name
Director / teacher contact information (phone / email)
May we contact the director regarding your child?
Clear selection
Please let us know if your child has any special health conditions
Physician’s Name
Physician’s Contact Information
*Thank you for your application! Please note: This is an application and not a registration form. This application does not entail any obligation for registration on the part of the school.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy