2026-2027 Little Bridges Preschool Application
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Are you a resident of the Bridgeport School District (priority enrollment is given to district residents?)
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Name of Child (First and Last) *
Date of Birth of Child *
MM
/
DD
/
YYYY
Age of Child *
Gender of Child *
Required
Is your child currently enrolled in a program?
If you answered yes to the above questions, please indicate where.
Was your child born under 5.5 lbs or less than 37 weeks? *
Required
Email *
Physical and Mailing Address *
City
State *
Zip Code
Name (First, Last) of Mother or Guardian *
Mother/Guardian Phone Number *
Name (First, Last) of Father/Guardian *
Father/Guardian Phone Number *
What language is primarily spoken at home? *
Family/Household Configuration *
How many persons are living in your primary household? *
Mother/Guardian Employment Status *
Mother/Guardian's Education Level *
Father/Guardian Employment Status *
Father/Guardian's Education Level *
Income Range (Gross Annual)
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Services or benefits you receive, please check all that apply (documentation may be requested)
Do you have any concerns regarding your child's learning or behavioral needs?
Please select any of the following that apply.
We work closely with other programs. Do we have your permission to share your contact information with other programs?
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