Partners Preschool Registration 24-25 
Registration Fee of $50 per child is due at the time of registration to reserve your slot in our program. Registration is not considered complete until registration fee and documents have been submitted.
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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 Child Find 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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