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, 2020) OR our 3 Year Old Tuition Based Preschool program (student turns 4 on or before January 1, 2021). Tuition based preschool comes with a $200.00 monthly fee, paid at the 1st of every month.

Options for preschool include the following:
- 1/2 day 4 year old program
- 1/2 day 3 year old parent tuition based program ($200 per month)
- Full Day 4 year old program - parent pays $100 monthly to offset the additional halfday not paid by the Statewide Voluntary Preschool Program. Transportation will also be provided for full day preschoolers as part of our current transportation structure.

We are also looking at those who are interested in a full-day 4-year-old preschool option. This option would include a monthly tuition. As part of the Statewide Preschool Program, we receive funding for a 1/2 day 4-year- old program. This tuition would offset the costs of the additional time. At this time this tuition would be $100.00 per 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 will NOT provide transportation to preschool students part of the 1/2 day preschool program.

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 Last Name *
Your answer
Child's Birthdate *
MM
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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
*If different from above.
Your answer
Father's City, State, Zip
*If different from above.
Your answer
Fathers Phone Number *
Your answer
Father's Email Address *
Your answer
Which program are you enrolling your child in? (Please read each option carefully) *
Preference will go to 4-year-olds first.
Which session for a 1/2 day program is your preference?
3-year-olds will be placed in the AM session.
Submit
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