Husky Early Learning Center Registration Form
Nashua-Plainfield CSD offers a JumpStart Program for 3 yr. olds along with our state-funded 4 yr. old Preschool Program for our early learners. (Must be 3 or 4 on or before Sept. 15.) Please complete the basic registration form no later than March 10, 2020. Make sure you click the “submit” button when you are finished. Registration information will be used for the configuration of next year’s preschool classes as well as for sending out further information. Registrations are time-stamped and will be processed in the order received. Be advised there is a limit for preschool programs.

Parent Information Meeting will be held on Tuesday, Mar. 24th. Specific information will be sent to registered participants via email no later than Mar. 18th.

If you have any questions regarding registration, call the Elementary office at 641-435-4114.
Child's Last Name *
Your answer
Child's First Name *
Your answer
Gender *
Date of Birth *
mm/dd/year (ex: 06/25/2009)
Your answer
Choose Program *
Mother or Guardian Name *
Your answer
Mother's Address *
Include street & mailing address, city, zipcode
Your answer
Mother's Primary Phone Number
Include area code (ex: 222-222-2444)
Your answer
Primary Email *
Please list email address that we can use to contact you on a regular basis.
Your answer
Father or Guardian Name *
Your answer
Father's Address *
Include street & mailing address, city, zipcode
Your answer
Father's Primary Phone Number
Include area code (ex: 222-222-2444)
Your answer
Submit
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