Collins-Maxwell Community School District Preschool Enrollment Form
Please complete this form and submit if you have a child whom you are enrolling for our 4 Year Old Preschool program (student turns 4 on or before September 15, 2019) OR our 3 Year Old Tuition Based Preschool program (student turns 4 on or before January 1, 2020). Tuition based preschool comes with a $200.00 monthly fee, paid at the 1st of every month.

By filling out this form and submitting, you are reserving your child's spot with the Collins-Maxwell Community School District. Your registration will not be complete until you complete e-registration prior to the beginning of school. You will receive further notifications on e-registration no later than July 1st.

Please fill out the form completely! We do NOT provide transportation to preschool students.

Placement of students is done to ensure a balance in numbers of students for each session. You can select a preference for AM or PM, however, this does NOT guarantee placement in your preferred session. Preschool sessions in the AM are from 8:30-11:30 AM and in the PM are from 12:20-3:20 PM. Students attend on Mondays, Tuesdays, Thursdays, and Fridays. There is no preschool on Wednesdays.

If you have questions/problems, please contact Chad Grandon at cgrandon@collins-maxwell.k12.ia.us or (641)385-2446
Child's First Name *
Your answer
Child's Middle Name *
Your answer
Child's Last Name *
Your answer
Child's Birthdate *
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DD
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YYYY
Gender *
Mother's First and Last Name *
Your answer
Mother's Street Address *
Your answer
Mother's City, State, Zip *
Your answer
Mother's Phone *
Your answer
Mother's Email Address *
Your answer
Father's First and Last Name *
Your answer
Father's Street Address
Your answer
Father's City, State, Zip
Your answer
Fathers Phone Number *
Your answer
Father's Email Address *
Your answer
Which program are you enrolling your child in? *
Which session is your preference?
Submit
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