ACTI Preschool Registration

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Please complete the following form to register for the ACTI Preschool 2021-2022 school year. Applications are taken on a first come, first served basis.

All questions and comments may be directed to:

Mrs. Erin Kehr
Adams County Technical Institute
1126 Old Harrisburg Road
Gettysburg, PA 17325

ekehr@acti-pa.org
717-334-6254 ext. 6149

Email *

Child's Full Name (First, Middle, Last) *

Date of Birth *

Is your child toilet trained? *

Yes

Other:

Name of child's parent(s) or guardian(s) *

Home Address *

Cell or Home Phone Number *

Desired Class *

Monday/ Wednesday, 3-4 year olds (children who will be 3 by September 1, 2020)

Tuesday/ Thursday, 4-5 year olds (children starting kindergarten the next year)

Does your child have any allergies? If so, please list them below. *

Does your child have any other health concerns? *

List child's siblings and their ages

What are your child's interests?

Thank you so much for your interest!

Sincerely,
Mrs. Erin Kehr

A copy of your responses will be emailed to the address you provided.

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