Application for Early Entrance to Kindergarten
Please complete this application if you feel that your child demonstrates achievement, social, emotional, and physical maturity appropriate for Kindergarten placement and should be considered for early entrance. For additional assistance, please contact Kristy Pheanis at kpheanis@middletowncityschools.com or (513)217-2659.

Application must be submitted for review by June 30, 2020
Child's First Name *
Child's Last Name *
Gender *
Child's Birth Date *
MM
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DD
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YYYY
Home Address *
City *
State *
Zip Code *
Parent/Guardian's First Name *
Parent/Guardian's Last Name *
Phone Number *
Email Address
If you would like a copy of your request form, an email must be provided.
Does your child have preschool experience? *
List preschool, Head Start, special programs, and other daycare programs attended.
What characteristics does your child have that makes you feel he or she should enter Kindergarten early? *
I read and understand the contents of the Early Entrance Guide. *
Submit
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