Pre-K Enrollment 2021-22
Filling out this form will pre-register your child for the Avenue A Pre-K Program for the 2021-22 school year. Children must be 4 years old (on or before August 31) to attend.
Child's Full Name (First, MI, Last) *
Child's Date of Birth *
Gender *
Guardian 1 Name and Date of Birth *
Guardian 1 Highest Education *
Marital Status *
Guardian 2 Name and Date of Birth *
Guardian 2 Highest Education *
Address *
Is Child Living With Both Parents? *
Primary Phone Number *
Previous School or Daycare *
Does Your Child Have an IEP? *
If so, who performed the assessment?
Do You Currently Qualify for Free or Reduced Meals? *
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