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.
Email address
Child's Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Is you child enrolled in the Rochester City Schools?
Name of school currently attending?
Your answer
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
Your answer
Submit
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