Port Townsend Transitional Kindergarten Application for Screening 
Transitional Kindergarten is a free program for children aged 4 by 8/31 of the current year, who are not eligible for regular kindergarten (5 years old by 8/31). Eligibility is determined by assessment or a lack of access to high-quality early learning experiences before kindergarten. Screening sign-up is open until March 1, 2024. While a screening appointment considers your child for the program, acceptance is not guaranteed.
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Parent/Guardian Name *
Relationship to Student  *
Phone Number *
Email Address *
Home Address *
Are you a resident of Port Townsend School District? *
Student Name (First and Last) *
Student Date of Birth *
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Student Age *
Home Language *
Do you need an interpreter? *
Is your child currently enrolled in a childcare program? *
Has your child ever been offered placement in Head Start or ECEAP program? *
When and where did your student last attend preschool or childcare?
Do you plan on applying for another early learning program? If so, which one
My child receives the following services:
Do you have concerns about your child's development to share in regard to learning, behavior, toileting, speech, or physical impairments?
We believe we qualify for the free and reduced lunch program. *
How did you hear about Transitional Kindergarten?
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