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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
Home Phone
*
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Email Address
Your answer
Address
*
Your answer
City
*
Your answer
ZIP Code
*
Your answer
Preferred Contact Method
Please select the best method for contacting you.
Choose
Phone
Email
Mail
Is your child fully potty trained?
*
Yes
No
I am interested in:
Fee-based, Full-Day Preschool
Free, Part-Day Preschool
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