PHLprek Interest Form

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Thank you for your interest in Grays Ferry Early Learning Academy's PHLpreK program. The purpose of this form is to collect contact information and determine interest for children eligible to enroll for the 2024-2025 program year. This form does not replace the FY 24 application.

PHLpreK Eligibility:

The only eligibility requirements for PHLpreK participation during the 2024-2025 School Year are:

Child must be 3 or 4 by September 1, 2024
Family must reside in Philadelphia

Today's Date *

YYYY

Parent/Guardian First and Last Name *

Relationship to Child *

Telephone Number *

Complete Home Address (please include City, and Zip Code) *

Email Address *

Check off your preferred communication method *

Telephone

Required

Child's First and Last Name *

Child's date of birth *

YYYY

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