Clara Hearne Pre-K Enrollment Questionnaire

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Clara Hearne Pre-K Enrollment Questionnaire

Please answer the following questions to begin the enrollment process for EACH child you plan to enroll.
A RRGSD staff member will contact you once this form is completed to schedule an appointment.

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* Indicates required question

Child's Full Name *

Your answer

Child's Date of Birth *

MM

/

DD

/

YYYY

Do you have your child's birth certificate? *

Yes

No

Do you have a copy of your child's immunization record? *

Yes

No

Guardian's Name *

Your answer

Relationship to Child *

Mother

Father

Other

Home Address *

Your answer

Daytime Phone Number *

Your answer

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