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Oktaha Pre-K Enrollment Form 2023-2024
If you live in our district or your child is on a transfer that was approved by the superintendent, please fill out this form for the Oktaha Pre-kindergarten program (2023-2024 school year).
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* Indicates required question
Email
*
Your email
Child's Legal Name: first, middle, last
Your answer
Students Social Security Number
Your answer
Gender
Female
Male
Clear selection
Child's Race-Mark all that apply.
African American
American Indian
Asian
Pacific Islander
White/Caucasion
Hispanic/Latino
Birthdate
MM
/
DD
/
YYYY
Birthplace/city and state
Your answer
Age
4
5
Clear selection
School District you live in:
Your answer
Last School attended if any (Name of School/City and State/Phone #)
Your answer
Medicaid/Sooner Care insurance card #
Your answer
Guardian #1
Mother
Father
Step-mother
Step-father
Grandparent
Other Guardian
Clear selection
Guardian #1 First and Last name/Phone number
Your answer
Guardian #1 Employer/work number
Your answer
Mailing address (if different)/city/state/zip
Your answer
Physical Address/street/city/state/zip
Your answer
Guardian #2
Mother
Father
Step-mother
Step-father
Grandparent
Other Guardian
Clear selection
Guardian #2 First and Last name/Phone number
Your answer
Guardian #2 Employer/work number
Your answer
Person(s) to contact in case of emergency: (other than parent/guardian) Name/phone/relationship
Your answer
Does your student have an IEP?
Yes
No
Clear selection
Please list any siblings in elementary or high school
Your answer
Please list anyone who is not allowed to pick your child up.
Your answer
Submit
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