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WWA Pre-K Intent Form
Complete one per child.
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* Indicates required question
Child's Name (First, MI, Last)
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Parent/Guardian Name(s)
*
Your answer
Best Email
*
Your answer
Best Phone Number
*
Your answer
Address
*
Your answer
Do you have other children who attend Woodrow Wilson Academy? Please include name(s) and grade.
*
Your answer
Has your child attended any other preschool program? If yes, please state which program.
*
Your answer
Does your child have an IEP or been through Child Find?
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Yes
No
If yes, please briefly explain the outcome:
*
Your answer
How did you hear about our program?
*
Your answer
Please choose the schedule you want.
*
Choose
M-F Full Day
M-F Half Day
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