Pre-K Registration 2018-19
Pre-K Hours: 8:10-11:10 Monday-Friday
Daycare Hours: 11:10-5:30 Monday-Friday (separate from pre-k)
Student Full Name *
Your answer
Date of Birth *
Your answer
Male/Female *
Required
Child Lives With *
Your answer
Mother's Name *
Your answer
Address *
Your answer
Home Phone *
Your answer
Email
Your answer
Employer
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Father's Name *
Your answer
Address *if different from mother's address
Your answer
Home Phone *if different from mother
Your answer
Employer *
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Will your Child Attend Daycare starting at 11:10 *
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