2021-2022 Preschool Screening Sign-up
* Required
Email address
*
Your email
Child's Full Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Parent(s) Name
*
Your answer
Home Address
*
Your answer
Phone number
*
Your answer
Would you like all required forms sent by email or regular mail.
*
Email
Regular Mail
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Pearl City School District #200.
Report Abuse
Forms
