Perea Preschool Student Registration SY23-24

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This form is the first step of the formal enrollment application process. Parents must submit proof of address, shot record, birth certificate with seal, social security card, picture identification, $60 registration fee, lunch application form, proof income for the household and TANF information.

Is your student new or returning? *

New

Returning

How did you hear about Perea Preschool? *

Current student

Family member of a Perea Preschool or Elementary student

Community Canvassing/ Home Visit

My church

Local business

Other:

Child's Name *

Child's Date of Birth *

YYYY

Gender *

Male

Female

Grade Level *

Social Security Number (xxx-xx-xxxx) *

Student Ethnicity *

Non-Hispanic or Latino

Hispanic or Latino

Student Race *

Black/African American

Caucasian/White

American Indian or Alaskan Native

Native Hawaiian or Pacific Islander

Asian

Required

Siblings at PES/PPS

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