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Preschool Waiting List
Begin the process of enrolling your child in one of our Preschool programs by completing the following form.
All applicants will be considered. However, priority is based on income, family size, and other high need factors.
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* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Contact
Phone
*
Your answer
Email Address
Your answer
Address
*
Your answer
City
*
Your answer
ZIP Code
*
Your answer
I am interested in:
Fee-based, Full-Day Preschool
Free, Part-Day Preschool
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