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Mini Mt'Neer Preschool Application
Completion of this form will secure a spot for your child on the waiting list.  You will be contacted at a later date to schedule a screening for your child as screening dates/times are available. Screening is not able to take place until your child turns three or older. Additional enrollment information will be requested at this time.  After your child has been screened you will be notified if space becomes available in a classroom.
Email *
Helpful Information:
Classes held Monday-Friday
Morning session: 8:30-11:30 AM (Breakfast served)
Afternoon session: 12:30-3:30 PM (Lunch served)
Full day session: 8:30 AM-3:30 PM (Breakfast and lunch served)
Students with an Individual Education Plan (IEP) may receive bus transportation.Untitled Title
Student Full Name *
Student Date of Birth *
MM
/
DD
/
YYYY
Male or Female *
Parent 1 Name *
Parent 2 Name
Street Address *
City, State, Zip Code
Parent 1 Phone Number *
Parent 2 Phone Number
Parent 1 Email Address *
Parent 2 Email Address
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