Preschool Application 2017-2018
East Greenwich Public School Early Childhood Program
Meadowbrook Farms Elementary School
2 Chestnut Drive
East Greenwich, RI 02818
Child's name *
Your answer
Sex *
Required
Child's date of birth (child must be 3 years by the start of the school year) *
Your answer
Child's address *
Your answer
Mother/Guardian Name
Your answer
Home phone
Your answer
Cell/Work phone
Your answer
Mother/Guardian email address
Your answer
Father/Guardian Name
Your answer
Home phone
Your answer
Cell/Work phone
Your answer
Father/Guardian email address
Your answer
My child is toilet trained during the day *
Required
Primary language spoken at home *
Your answer
My child has been screened by Child Outreach (we encourage you to participate in the Child Outreach Screening each year for 3,4, and 5 year olds) *
Required
If child was screened, what was the date?
MM
/
DD
/
YYYY
I understand the acceptance into the preschool program is by lottery. If accepted, there is a $200 per month tuition fee. Once accepted into the program, payment information will be given to each family. *
Required
Parent name (filling out this form) *
Your answer
Date *
MM
/
DD
/
YYYY
Submit
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