PK3 Pre-Registration Form (2021/2022)
********Please only submit only 1 pre-registration application. Thank You********

This form is for an incoming PK3 student (a student who is 3 years old by 9/1/2021). In order to fully enroll in our PK3 program, your child has to qualify. You will need to meet one of the following criteria, there is NO tuition option for our PK3 program
1. Limited proficiency in English
2. Eligible for FREE or reduced lunch
3. Receive Medicaid and or SNAP benefits

Online registration forms (through Skyward) will be available beginning April 5th, 2021 for the 2021/2022 school year. You may upload the student's documents when completing the online forms, once submitted you will not be able to make any changes. Please note that full registration will be completed in the summer.
Child's Name (First, Middle and Last Name) *
Child's Date of Birth (child has to be 3 yrs old for PK3 enrollment by 9/1/2021) *
MM
/
DD
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YYYY
Child's Gender *
Parent E-mail *
Mother's Name
Mother's Phone Number
Father's Name
Father's Phone Number
Home Address *
Our PK3 program is a half-day program, what time would you prefer? We will try our best to accommodate your time preference *
Please state how you believe your child may qualify for the program. *
What language is spoken in the child's home most of the time? (1 language per selection) *
What language does the child speak most of the time? (1 language per selection) *
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