Preschool Interest 2020-21
Please fill out this form and we will be in touch to set up a time to meet to complete an application.
Email address *
Child's First Name *
Child's Last Name *
Child's Birth Date *
MM
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DD
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YYYY
Parent/Guardian Name *
Phone Number *
Preferred Preschool Location *
Desired Preschool Schedule *
Required
Will you need before or after school care? ($3.50/hr) *
Our programs participate with both state and federal preschool programs that offer free preschool. These programs have eligibility factors that require income information. In order to know which application your family will need to fill out please select your gross family income range below. This information is confidential and only used for purposes of the application. *
How many people are in your family (living in the same house)? *
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