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Request for Early Kindergarten Entrance
This form is only required if your child will
not
be age 5 on or before September 1, 2024.
Please submit this form by February 16, 2024.
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* Indicates required question
Please provide your email address
*
Your answer
Parent/Guardian Contact First Name
*
Your answer
Parent/Guardian Contact Last Name
*
Your answer
Best Phone Number to Reach the Parent/Guardian Listed Above
*
Your answer
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Street Address With Zip Code
*
Your answer
Name of Current Preschool or Childcare Program (if none, put N/A)
*
Your answer
Primary Contact at Preschool or Childcare Program (if none, enter N/A)
*
Your answer
Email of Primary Contact at Preschool or Childcare Program (if none, enter N/A)
*
Your answer
By clicking "Yes" below, I give my permission for Bolton Public Schools to contact/speak with the Preschool/Childcare provider listed above.
*
Yes
No
My child is not in a preschool or childcare program
Please share the reason(s) you are requesting early entrance to kindergarten for your child.
*
Your answer
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