Husky Early Learning Center Registration Form
Preschool registration is now open for the 2017-2018 school year at Nashua-Plainfield CSD. The district operates two preschool programs--JumpStart is available for 3 year olds and Preschool will be available for 4 year olds. (Must be 3 or 4 on or before Sept. 15.)

Please complete the basic registration form no later than Friday, March 10, 2017. Make sure you click the “submit” button when you are finished. Registration information will be used for configuration of next year’s preschool classes as well as for sending out further information. Registrations are dated and will be processed in the order received. Be advised there is a limit for preschool.

If you have any questions regarding registration, call the Elementary office at 641-435-4114.

Child's Last Name *
Your answer
Child's First Name *
Your answer
Gender *
Date of Birth *
mm/dd/year (ex: 06/25/2009)
Your answer
Choose Program *
Mother or Guardian Name *
Your answer
Mother's Address *
Include street & mailing address, city, zipcode
Your answer
Mother's Primary Phone Number
Include area code (ex: 222-222-2444)
Your answer
Primary Email *
Please list email address that we can use to contact you on a regular basis.
Your answer
Father or Guardian Name *
Your answer
Father's Address *
Include street & mailing address, city, zipcode
Your answer
Father's Primary Phone Number
Include area code (ex: 222-222-2444)
Your answer
Submit
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