Preschool Pre-Registration
Preschool Eligibility Requirements
1. Family must live in the city school district
2. Child must be 4 years old by August 1st
3. Family must meet income guidelines
4. Child is 3 or 4 years old with an IEP

Requirements Due at Enrollment
1. Proof of Residency
2. Certified Copy of Birth Certificate
3. KY Immunization Certificate
4. KY School Physical (within the last year)
5. KY Eye Exam
6. Online Registration & Enrollment Forms Completed

Email address *
Child's Name (first & last) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Home Language:
Your answer
Address *
Your answer
Parent/Guardian Name (first & last) *
Your answer
Telephone Number *
Your answer
Alternate Contact Name & Number
Your answer
Do you prefer:
Does Your Child have an IEP? *
Do you have concerns about your child's development? *
If you have concerns about your child's development please describe:
Your answer
Total # of people living in the household:
Your answer
SNAP or KTAP #
Your answer
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