JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
KinderHaus Application
KinderHaus provides an intimate, progressive and multicultural preschool education that is ideal for preparing our children to take part in the opportunities of an international future.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child Full Name
Your answer
Child Birth Date
mm/dd/yy
Your answer
Gender
Male
Female
Family Home Address
Please record the complete home address
Your answer
Parent 1 Full Name
Your answer
Parent 2 Full Name
Your answer
Parent 1 Telephone Numbers
*
Please add all work, home and cell numbers and label accordingly
Your answer
Parent 2 Telephone Numbers
Please add all work, home and cell numbers and label accordingly
Your answer
Parent 1 email address
*
Please record all relevant email addresses
Your answer
Parent 2 email address
Please record all relevant email addresses
Your answer
I am interested in the following # of days a week
2
3
5
If my prefered number of days are not available I would consider more days/week
If my prefered number of days are not available I would consider fewer days/week
Does your child have any medical conditions or allergies?
Your answer
Does your child receive or is expected to receive any special services, i.e., speech/language therapy, SEIT (special instruction), occupational or physical therapy?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
