2021-2022 Cougar Cubs Preschool Application
Early learning is a valuable component to your child's future success in school, work, and life. We are so pleased that you have considered enrolling your child in Cougar Cubs Preschool to begin their educational journey.

After completing this online application, you will be contacted by the Early Childhood Coordinator to complete the enrollment process if your child has been accepted into the program.
Email address *
Child's Full Name (First, Middle, Last) *
Child's Gender
Clear selection
Child's Date of Birth *
MM
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DD
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YYYY
Child Lives With *
First Parent or Guardian's Name *
First Parent or Guardian's Address *
First Parent or Guardian's Phone Number *
First Parent or Guardian's Email Address *
Second Parent or Guardian's Name
Second Parent or Guardian's Address
Second Parent or Guardian's Phone Number
Second Parent or Guardian's Email Address
Is a legal guardian of your child an employee of Greenfield-Central Community Schools? *
If a legal guardian of your child is an employee of G-CCSC, please list their name, title, and location.
Does your child have any siblings who attend Greenfield-Central Community Schools? *
If your child has any siblings who attend Greenfield-Central Community Schools, please list their names, current grade, and school name.
Does your child have any allergies or medical conditions of which we should be aware? If yes, please list them. *
Do you have any concerns regarding your child’s speech, social skills, academic skills, or that your child is meeting developmental milestones? If yes, please list them. *
Does your child have an IEP or IFSP for speech, developmental delay, or any other diagnosis, or has your child ever been in First Steps? If yes, please explain. (All children are welcome and embraced in our program. Please note that answering "yes" does not disqualify your child from attending our program. The information you provide allows us to have the appropriate supports in place for your child.) *
Has your child previously attended a preschool program within a public school in any district within the state of Indiana? *
Please briefly describe the experiences your child has had with other children, including with siblings, daycare, play groups, etc. *
Please briefly describe your child’s interests, likes/dislikes, any fears, temperament, etc. *
Please describe your child's experience with potty training and any support he/she may need with potty training. (Potty training is not a requirement for our preschoolers. The information you provide allows us to have supports in place to help your child.) *
What do you hope your child gains from attending preschool? *
Please select your location preference for your child. *
Please select your program preference for your child. *
I understand that this application is not a guarantee of placement for my child. Cougar Cubs Preschool will place children on a first-come, first-served basis with every attempt at meeting families' location and time preferences. *
A copy of your responses will be emailed to the address you provided.
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