Ashland-Greenwood Public Schools- Early Childhood Program New Student Application 2024-2025 School Year-CURRENTLY FULL-ALL APPLICANTS WILL BE PLACED ON A WAIT LIST

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Our Preschool is currently FULL as of MARCH 1st. All applications completed after March 1st, will be placed on a wait list. If a spot opens up, you will be contacted by the Primary School Front Office or Preschool Coordinator.

*Please complete all sections of this application prior to submitting this form. After completing this form, please email a copy of your child's birth certificate to kelly.jacobs@agps.org.

Email *

Student Name (Last Name) *

Student Name (Middle Name)

Student Name (First Name) *

Street Address *

Mailing Address *

Home Phone (###-###-####) *

Gender

Male

Female

Clear selection

Date of Birth (MM/DD/YYYY) *

My child was born

Full Term Baby (37 or more weeks gestation)

Premature (before 37 weeks gestation)

Clear selection

Birth Weight-Did your child weigh less than 5 pounds at birth?

Yes

Clear selection

Preferred Session

(Note: we will do our best to honor requests)

Morning (8:00am-11:20am)

Afternoon (12:00pm-3:20pm)

No preference (can make either work)

Clear selection

Ethnic Origin (check all that apply)

American Indian or Alaska Native

Native Hawaiian/Other Pacific Islander

Black or African American

Asian

White

Is the student Hispanic or Latino

Yes

Clear selection

Do you speak a language other than English in the home?

Yes

Clear selection

If yes, what language?

Clear form

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