JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
West Islip HS Little Lions Preschool Registration 2022-23
Please note that Little Lions Preschool is separate from the District Pre-K program. For questions, please contact Director of Math, Business Ed., and Family & Consumer Sciences:
James Grover -
j.grover@wi.k12.ny.us
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Child's Gender
*
Female
Male
Prefer not to say
Child's Date of Birth
*
MM
/
DD
/
YYYY
Home Address
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian First Name
*
Your answer
Parent/Guardian Email Address(es)
*
Your answer
Home Phone Number
*
Your answer
Are there any medical issues that would affect your child's participation in activities? (If yes, please explain)
*
Your answer
Does your child have any allergies? (If yes, please explain)
*
Your answer
Does your child take any medications regularly? (If yes, please explain)
*
Your answer
Emergency Contact (Name, Relationship, phone #)
*
Your answer
Other person(s) authorized to take child from preschool. (Name, relationship, phone #)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of West Islip Union Free School District.
Report Abuse
Forms