Pre-Registration for 3 Year Old Program
* This is a pre-registration for the JE 3 year old program * Complete this on-line form, then we'll call you to schedule the in-person registration at Elbridge Elementary * Note: the 3 year old program is located at the Middle School, 9 N. Chappell St., Jordan, NY * Children must turn 3 years old by December 1st to start in the program the previous September.
3 Year Old Program - Middle School - 9 N. Chappell St., Jordan, NY 13080
Registration - Elbridge Elementary - 130 E. Main Street - Elbridge, NY 13060
Pre-Registration Questions
Please complete the questions below, then click Submit.
Name of child to register
Your answer
Parent/Guardian Name *
Your answer
Parent Street Address (Street, City, Zip Code) *
Your answer
Will your child need transportation to/from the program? *
Parent Phone Number *
Your answer
Parent E-Mail Address
Your answer
Learn about how Jordan-Elbridge works as a Professional Learning Community (PLC)
Never submit passwords through Google Forms.
This form was created inside of Jordan-Elbridge Central School District.