2019-2020 Riceville CSD Preschool Application Form
Eligible preschoolers must be four years old by or on September 15, 2019.
Please fill out the information below and click the submit button.
**Submission of information does not guarantee enrollment in Riceville CSD Program, families will be notified if their child is accepted.
Child's Information
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Middle Name *
Your answer
Child's Birth Date *
MM
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DD
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YYYY
Child's Gender *
Session Preference Options
Depending on the number of students who enroll in our preschool program will determine what the structure of our program will be next year. Below are the options that will be considered after we have the information from registration.
Session Preference Option 1 *
One option is the Riceville CSD Preschool would be offered four full days per week on Monday, Tuesday, Thursday and Friday. Full day sessions would run from 8:00-3:10 p.m. and half-day sessions would run from 8:00-11:00 a.m. The full day sessions have a tuition fee for the afternoons and half-day sessions are in the morning only and are covered under the state preschool grant so there is no tuition for half-days. The district does not provide mid-day transportation, so if you choose half-days you would need to pick your student up. Please pick your preference below if we have full days.
Required
Session Preference Option 2 *
Another option would be students would attend four half days and a morning and afternoon session would be offered. Students would attend Monday, Tuesday, Thursday, and Friday mornings or afternoons. There would be no mid-day transportation to get the students to and from preschool. This would be covered under the state preschool grant and there would be no tuition charge. Please pick your preference if we offer half days.
Required
Session Preference Option 3 *
The last option that would be considered would be students would attend two full days of preschool a week. They would attend Monday/Thursday or Tuesday/Friday. This would be covered under the state preschool grant and there would be no tuition charge. Please pick your preference if we offer two full days.
Required
Session Preference *
We would like to see what families' preference would be if we aren't able to offer four full days. Please pick your preference between four half days or two full days a week.
Required
Drop off/Pick up
Parent/Guardian Information
Parent/Guardian 1 Last Name *
Your answer
Parent/Guardian 1 First Name *
Your answer
Parent/Guardian 1 Relationship to Child *
Parent/Guardian 2 Last Name
Your answer
Parent/Guardian 2 First Name
Your answer
Parent/Guardian 2 Relationship to Child
Contact Information
Primary Phone *
Your answer
Parent/Guardian 1 Email Address *
Your answer
Parent/Guardian 2 Primary Phone Number
Your answer
Parent/Guardian 2 Email Address
Your answer
Address Information
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
The State Preschool Grant requires that Riceville CSD request the following information
Race *
Ethnicity *
Language Spoken *
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