Little Sprouts Preschool Application
2019-2020 School Year
Email address *
Student's Name *
Your answer
Student's Birthdate *
MM
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DD
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YYYY
Student's Gender *
Student Address (including city and zip code) *
Your answer
My child is 8 weeks-3 years old and I plan to have my child attend Little Sprouts on the following days each week: (select all that apply) Please note that Infant Care is only available FULL TIME
My child turns 4 years old on or before September 1st and would like to attend VPK:
Mother's Name: *
Your answer
Mother's Contact Information (cell and work phone number) *
Your answer
Mother's Email *
Your answer
Mother's Occupation and Employer *
Your answer
Father's Name *
Your answer
Father's Contact Information (cell and work phone number) *
Your answer
Father's Email *
Your answer
Father's Occupation and Employer *
Your answer
Child lives with: *
Has your child had previous preschool experience? *
How did you hear about Little Sprouts Preschool? *
Your answer
Why do you think your child and your family will be a good fit for Little Sprouts? *
Your answer
Please list below anyone permitted to pick up child and who may be contacted in case of an emergency. Include relationship to the child and a contact number! *
Your answer
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