NIXA Early Childhood 19-20 Interest List
This form will be open from January 15, 2019 thru August 31, 2019. Our program is filled on a first come first serve basis. Class placements will be done in May of 2019, for the 2019-2020 school year.

ALL FUTURE COMMUNICATION about our program and your child's placement will be given to you THRU EMAIL. To ensure you receive the most up to date information, enter your information below.

Email address *
This form is to express interest in the Nixa Early Childhood Program. I understand that placement in the Early Childhood Program is received on a first come - first serve basis. The majority of spots available are for tuition based classes.
Our Early Childhood Program is for Nixa residents ONLY. The qualifications for our program are the same as Nixa Public Schools (current address must be within Nixa school boundaries). Children must also be toilet trained by the first day of school, August 13, 2019.

Please Not: Filling out this form does NOT guarantee placement or enroll your child in the Early Childhood program.

**IMPORTANT**Please add to your contacts to ensure future communication will not go to SPAM. Also add
I HAVE READ and understand the above statement.
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