JPS Preschool Application
-Your child must be 4 years old before October 1st or entering kindergarten next September.

-Please submit a hard copy of the Health Forms via mail:

JPS Preschool
855 Grove Ave
Edison, NJ 08820

https://drive.google.com/file/d/0B28Ehl0jyeoiQ0d4RlAtbThIRzBjQVIwOW85VGx0cmlucDZ3/view?usp=sharing


-Preschool begins in late October and is typically held on Wednesdays, Thursdays and Fridays.

-Session A OR Session B (Times will be announced in September)


-Email Mrs. De Mattia with any questions Nicole.DeMattia@edison.k12.nj.us
Email address *
Indicate session preference (we will do our best to accommodate preference, however the other session might be provided instead) *
Child's First Name & Last Name *
Your answer
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Home Phone (if none, please write none) *
Your answer
Father's Name & Cell *
Your answer
Mother's Name & Cell *
Your answer
Emergency Name, Phone Number & Relationship *
Your answer
Doctor's Name & Phone Number *
Your answer
Prescribed medication
Your answer
Allergies *
Your answer
Food restrictions *
Your answer
Is your child completely potty trained and out of pull-ups? *
Does your child speak and understand English? *
What other languages are spoken in the home?
Your answer
List your child’s previous group experience: (nursery school, Sunday school, playgroup, etc.)
Your answer
Names and ages of siblings
Your answer
Does your child have difficulty separating from you?
Please indicate the following about your child: *
Required
Any additional information you would like to share about your child
Your answer
A copy of your responses will be emailed to the address you provided.
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