2017-18 PreK Registration Request Solicitud de Inscripción PreK 2017-18
Complete every section of this form. Incomplete forms cannot be processed.
3 or 4 year-olds must have their third birthday by September 1, 2017.

Complete cada sección de este formulario. Formularios incompletos no serán procesados.
Niños deben de cumplir 3 o 4 años antes del 1ro de Septiembre del 2017.

Email address
Child's Last Name/Apellido del niño
Your answer
Child's First Name/Nombre del niño
Your answer
Date of Birth/Fecha de Nacimiento
MM
/
DD
/
YYYY
Parent-Guardian/Padre-Tutor Legal
Your answer
Address/Domicilio
Your answer
Contact Number/Teléfono
Your answer
School Site, 1st choice:/Primera elección escolar:
School Site, 2nd choice:/Segunda elección escolar:
Check all that apply/Marque todo lo que aplica
Number of adults in the home/Numero de adultos en el hogar
Number of minor children in the home/Numero de niños menores en el hogar
House Hold Monthly Gross Income/Ingresos mensuales antes de impuestos
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