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
Please complete the questions below, then click Submit.
Name of child to register
Parent Street Address (Street, City, Zip Code)
Will your child need transportation to/from the program?
No (parent/guardian will drop off/pick up from school)
Parent Phone Number
Parent E-Mail Address
Learn about how Jordan-Elbridge works as a Professional Learning Community (PLC)
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Jordan-Elbridge Central School District.
Terms of Service