PreKindergarten Enrollment Form
Maple Run Unified School District - Serving the residents of Fairfield, St Albans City and St Albans Town
Email address *
Student Last Name *
Student First Name *
Student Middle Name
Student Date of Birth *
Student Gender *
Is the Student Hispanic or Latino? *
Child's Race (select all that apply) *
Has your child received any of these services?
Please describe any concerns you have about your child?
Parent 1 Name *
Parent 1 Street Address *
Parent 1 City *
Parent 1 Phone Number *
Address where Legal Parent 1 pays rent or taxes *
Parent 2 Name
Parent 2 Street Address
Parent 2 City
Parent 2 Phone Number
Address where Legal Parent 2 pays rent or taxes
Where would you prefer that your child attend preschool? *
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