2018-2019 Preschool Registration Request
Please complete every section of this form. Select 1st and 2nd choice for Preschool Class from the drop down menu.
3 year-olds must have their third birthday by September 1, 2018 (Do not complete this form if your child's birthday is later)
4 year-olds must have their fourth birthday by December 2, 2018.
Email address *
Parent First Name *
Your answer
Parent Last Name *
Your answer
Home Address (Number and Street) *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Phone number *
Your answer
Child's Name (First and Last) *
Your answer
Child's Birth Date (mm/dd/yyyy) *
Your answer
Was an older sibling of this student in one of our PUSD Preschool classes previously?
If Yes, sibling was in preschool previously, which preschool and year(s)?
Your answer
Full Day or Part Day? *
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This form was created inside of Poway Unified School District.