Family Room Preschool Interest List
Please complete this form to let us know that you are interested in our preschool program. We will contact you throughout the school year as spots open up, or in March for the following school year.  

Our preschool program is MWF from 8:15-12:00 and mostly follows the district school calendar.
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Child's Name *
Child's Birth date *
MM
/
DD
/
YYYY
Parent / Guardian *
Parent / Guardian
Address *
Phone Number *
Email Address *
Languages used in child's home *
Does your child or family work with any service providers or home visitors? *
Do you have any concerns or anything we should know about best serving your child and family? Why is this classroom a good fit for your family? *
How did you hear about the Family Room Preschool?
Does your child have a sibling who has attended the Family Room preschool previously?
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