JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Rush City Early Childhood Mailing List
Please fill out this form to be added to our mailing list.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent's Name (Last, First)
*
Your answer
Child's Name(s) (Last, First, Age) *Please list all children with ages*
*
Your answer
Have you moved to the district recently?
*
Yes
No
Mailing Address
*
Your answer
Email Address
*
Your answer
Phone Number
Your answer
What Early Childhood Programs are you interested in?
*
Preschool
Weekly ECFE Classes
One-time ECFE classes
Required
If you are interested in ECFE classes, what times would be of interest to you?
Morning classes
Afternoon classes
Evening classes
Weekend events
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of ISD 139 Rush City Public Schools.
Report Abuse
Forms
