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Early Learning Program Intake
Please take a few moments to complete each of the questions carefully.
If you'd like more information about the different early learning programs the Olympia School District offers, please check out our
Early Learning Education website
.
If you have any questions that are not answered on the website, please email
earlylearning@osd.wednet.edu
or call 360-596-7539 (24 hour message line).
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Email
*
Your email
Which Program are you interested in for your child?
Please take a moment to familiarize yourself with the programs that OSD offers here on our website.
*
Early Support Services (Birth to Three Years)
Community Peers Preschool (Three to Five Years)
ECEAP Preschool (Three to Five Years)
Developmental and Intensive Preschool (Three to Five Years)
Community Integrated Support (Three to Five Years)
Transition to Kindergarten (Four and Five Years)
Required
Name of Person Referring Child:
*
Your answer
Referrer Relationship to Child:
*
Choose
Parent/Guardian
OSD Employee
Provider (Therapist, Pediatrician, etc.)
Child Care / Day Care Provider
Social Worker / Case Manager
Other
Referrer Contact Information
(if not parent/guardian):
Please list agency name, address, phone and fax number
*
Your answer
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