JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2024-2025 Country Trails Early Childhood Request Form
**Please note**
Securing a tuition spot is on a first come, first served basis and once the allotted spots are filled, a waitlist system will be implemented per building.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Child's last name
*
Your answer
Child's first name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Do you have any concerns regarding your child's development?
*
Your answer
How old will your child be on September 1, 2024?
*
3 years old
4 years old
Is your child a new student or returning student?
*
New Student
Returning Student
What languages(s) are spoken in the home?
*
Your answer
Is your child wearing underwear and toilet trained?
*
Yes
No
Do you have another child you would like to request a spot in the program for?
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Central CUSD 301.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report