2019-20 WMPCS Pre-K Day School Forms
The following forms are for Pre-K students at Washington Montessori Public Charter School for the 2019-20 school year. This year we are requiring all students, returning or new, to complete the forms in order to ensure your contact information is correct and up to date. These forms will take approximately 5 minutes to complete per family. If you have any questions regarding the forms please contact the office during our summer hours (Mon - Thurs, 8:00 a.m.- 4:00 p.m.)
Student's Legal Name: *
Last Name, First Name (i.e.: Smith, John)
Your answer
Preferred Name
Your answer
Gender *
Date of Birth *
i.e.: 01/01/2015
Your answer
Physical Address -Street Name *
Street Number and Name, Apt. # (i.e. 1500 School Dr.)
Your answer
City *
(i.e. Greenville)
Your answer
State *
(i.e. NC)
Your answer
Zip *
(i.e. 27889)
Your answer
Mailing Address *
PO Box # or Street # and Name, Apt. #, City, State, Zip
Required
County Where Student Resides *
Required
Home Phone # (if applicable)
(ie: 999-999-9999)
Your answer
Mother's Cell #
(i.e. 999-999-9999)
Your answer
Mother's Work #
(i.e. 999-999-9999)
Your answer
Mother's Email Address
Your answer
Father's Cell #
(i.e. 999-999-9999)
Your answer
Father's Work #
(i.e. 999-999-9999)
Your answer
Father's Email Address
Your answer
Stepmother's Cell # (if applicable)
(i.e. 999-999-9999)
Your answer
Stepmother's Email Address (if applicable)
Your answer
Stepfather's Cell # (if applicable)
(i.e. 999-999-9999)
Your answer
Stepfather's Email Address (if applicable)
Your answer
Are there any custody issues or court rulings? *
Are there any medications your child will need to have administered during the school day? *
Has your child suffered from a head injury or concussion within the past year? *
Does your child have an Exceptional Children's Record? *
This would include any IEP, Speech, LEP or 504 services.
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