Black Rock Elementary Kindergarten Registration Program Preference
Please fill out the following survey and indicate your 1st through 3rd choice for full day (9:05 am to 3:30 pm), half day morning (9:05 am to 11:35 am) , or half day afternoon (1:05 pm to 3:35 pm) . Full day kindergarten is tuition-based ($295/month) - a $145 registration fee will be required AFTER notification of acceptance, which will be applied to your first month's tuition. To enroll in Kindergarten, a student must be 5 years of age on or before OCTOBER 1, 2018. If you have any questions, please contact Tamara Van Dale at 720-890-3995 or
Student First Name *
Student Last Name
Student Date of Birth *
Student Gender *
Parent First Name, Last Name (Best Contact) *
Parent Phone Number (Best Contact) *
Parent Email Address (Best Contact) *
Household Address *
Program Preference # 1 *
Program Preference # 2 *
Program Preference # 3 *
Residency Question: Please Check Which One Applies *
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