Daybreak Star Preschool Waitlist (SY20-21)
Please complete this form to be placed on our waitlist for the upcoming school year beginning September 2020.
Child (1) Full Name *
Child (1) Birthdate *
Child (2) Full Name (if applicable)
Child (2) Birthdate (if applicable)
Primary Parent's Full Name *
Secondary Parent's Full Name (if applicable)
Phone Number *
Email Address
Home Address
If no address, where are you currently staying? Provide details if you are home/houseless, in-transition or non-secured housing (shelter/motel/etc).
What is your child's identified race and ethnicity (select all that apply) *
Please include details about selections above. (i.e., Tribal affiliations/ancestry; country of heritage) *
Tell us about your child. What are some of your child(ren)'s interests?
Why did you select Daybreak Star Preschool and what is your hope for your child(ren) through their educational experience here?
Does your child(ren) have any particular needs, special learning accommodations, religious/spiritual requirements that we should be notified of?
Does your child(ren) have any allergies or medical conditions that our teaching staff need to be notified of?
How did you hear about our program? (i.e., Ina Maka Family Program, Family/Friends, Community Event, Other)
Is there anything else you would like us to know about your child(ren) or your family?
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