Partners Preschool Registration 24-25 
Registration is not considered complete until documents have been submitted and a FREE SCREENING (Peer Model (no developmental concerns) or Child Find (developmental concerns/speech concerns). The final step will be assessment of the $50 annual registration fee that is for our tuition-based Peer Model Program at The Early Childhood Learning Center or for a full day program at one of our Partners Preschool locations.
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Email *
Do you qualify for DES Child Care Subsidy?
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Child's First Name *
Child's Middle Name *
Child's Last Name *
Child's Nickname (optional) *
Child's Birthday *
MM
/
DD
/
YYYY
Gender Assigned at Birth *
Student Street Address *
Student City *
Student Zip Code *
Have you had your child screened via Peer Model Screening (no concerns) or Child Find  Screening due to concerns for developmental delay/speech delay?
 *
Required
Do you have other concerns not related to the above?
 *
Does your child have an IEP? *
Required
Has your child been enrolled in preschool previously? *
Required
Has your child ever been removed or disenrolled from a preschool program? *
Does your child have medical needs, allergies, or concerns? *
Please list any medical concerns
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