Pre-K Round Up 4/13-4/14
Please complete the following survey to sign your child up for Pre-K Round Up.
Email address *
Child's Full Name (First, Middle, Last)
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Gender
Clear selection
Child's Address
Child lives with:
Clear selection
Mother's Name, Address, Email address, and Phone Number
Father's Name, Address, Email Address and Phone Number
What times are you available?
Choose your 1st available time preference.
1-2
2-3
3-4
4-5
5-6
Tuesday
What times are you available?
Choose your 1st available time preference.
9-10
10-11
11-12
Wednesday
What times are you available?
Choose your 2nd available time preference.
1-2
2-3
3-4
4-5
5-6
Tuesday
What times are you available?
Choose your 2nd available time preference.
9-10
10-11
11-12
Wednesday
Any other comments and/or questions?
Submit
Never submit passwords through Google Forms.
This form was created inside of Carroll Consolidated School Corporation.