Preschool Registration 2020-2021
Pulaski County Schools
PREREQUISITE INFORMATION
Student's Grade Level (2020-2021) *
This form is only intended for preschool students. Click "Preschool" to continue.
Do you live within the county or city school district boundaries? *
This form is not to be used by those who live in Somerset Independent or Science Hill Independent school districts. This form is only for those who live within the Pulaski County School District boundaries, or surrounding counties.
Do you receive benefits through SNAP and/or KTAP? *
SNAP = Supplemental Nutrition Assistance Program (AKA Food Stamps) | KTAP = Kentucky Transitional Assistance Program
IF you DO NOT receive SNAP or KTAP benefits, what is your annual household income?
Your answer
STUDENT INFORMATION
Student's First Name *
Your answer
Student's Nickname *
What name does your child go by, if not his/her legal first name?
Student's Middle Name
Your answer
Student's Last Name *
Your answer
Student's Birth Date *
MM
/
DD
/
YYYY
Student's Gender *
Student's Ethnicity *
Student's Race *
Student's PHYSICAL Address
Where does the student live?
Student's Physical Address - Street *
Your answer
Student's Physical Address - City *
Your answer
Student's Physical Address - State *
If other than KY, use state abbreviation, please.
Student's Physical Address - ZIP Code *
Your answer
Student's MAILING Address
Where should mail, pertaining to this student, be sent?
Student's Mailing Address - Street/PO Box *
Student's Mailing Address - City *
Student's Mailing Address - State *
If different from "Physical Address (State)," use state abbreviation, please.
Student's Mailing Address - ZIP Code *
PHONE NUMBERS
Primary Phone Number *
How can we reach you if we have questions about registration?
Your answer
Mother/Female Guardian Cell Phone Number
Optional, but helpful.
Your answer
Father/Male Guardian Cell Phone Number
Optional, but helpful.
Your answer
SCHOOL ATTENDANCE
Which school or daycare did your child attend most recently? *
Your answer
Which preschool will your child attend during the upcoming school year? *
The student must attend the school within his/her Attendance Zone, based on his/her physical address.
PARENT/GUARDIAN INFORMATION
Name of Mother/Female Guardian *
Your answer
How is Mother/Female Guardian related to the student? *
Does Mother/Female Guardian live with the student? *
Name of Father/Male Guardian *
Your answer
How is Father/Male Guardian related to the student? *
Does Father/Male Guardian live with the student? *
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