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2025-2026 EBPS - General Education Inclusive Preschool Program 
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Student's First Name *
Student's Last Name *
Guardian's  First Name  *
Guardian's Last Name *
Guardian's Phone Number  *
Student Address *
Parent/Guardian's  Email Address  *
Student - Date of Birth (Student must be 3 years old by October 31, 2025 toilet trained and not age eligible for Kindergarten) *
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Age  *
Gender  *
Eligible for Free and Reduced Lunch  *
Do you have other students attending East Brunswick Schools?
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If yes, what school do your other children attend? *
Preferred School - 1st Choice 
*Program may not be available in every elementary school
 *
Preferred School - 2nd Choice 
*Program may not be available in every elementary school
 *
Preferred Session *
  I certify that the foregoing statements made by me are true. I am aware that if any of them are willfully false, I will be subject to legal action. As per State Law and Board Policy, if it is discovered that my child (children) is (are) illegally attending the East Brunswick Schools and not living in East Brunswick, I will be responsible for the payment of all accrued tuition fees. In addition, I acknowledge that I will be responsible for any legal expenses incurred by the East Brunswick Board of Education in relation to the situation.  
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