Kindergarten Interest Form
Please fill out this form if you have a child in Kindergarten and are interested in them attending Horizons at Harley this upcoming Summer.
Date of Birth
Is you child enrolled in the Rochester City Schools?
Name of school currently attending?
Does your child reside in the city of Rochester?
Does your child qualify for free or reduced school lunch?
How is your child performing in school in relation to reading?
Significantly below grade-level
Significantly above grade-level
Is your child experiencing any behavior problems at school?
Many behavior problems
No behavior problems
Please include your contact information, best phone number and time to reach you
Please complete the captcha before submitting the form.
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