2019-20 Application for Three Year Old Preschool Program
Eligible preschoolers must be born between September 16, 2015 and September 15, 2016. A $300 monthly tuition fee will be required. Please complete the information below and click the submit button.
Transportation to preschool is not provided.
STUDENT INFORMATION
Child's Legal Last Name *
Your answer
Child's Legal First Name *
Your answer
Child's Middle Name
Your answer
Child's Birth Date (must be born between 9/16/2015 and 9/15/2016 to be eligible)
MM
/
DD
/
YYYY
Gender *
Ethnicity *
Required
Race (check all that apply) *
Required
Language Spoken *
Primary Phone (will be used as student's primary/home phone, please use ###-###-#### format) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Does your child have siblings currently attending any school in the Iowa City Community School District? *
PARENT 1 INFORMATION
Parent/Guardian 1 Last Name *
Your answer
Parent/Guardian 1 First Name *
Your answer
Parent/Guardian 1 relationship to student (mother, father, grandparent, step-parent, guardian, etc.) *
Your answer
Parent/Guardian 1 Primary Phone *
Your answer
Parent/Guardian 1 Email Address - Confirmation letters will be emailed to this address. If you do not have a valid email address, please enter blank@example.com and paper copies of confirmations will be mailed. *
Your answer
PARENT/GUARDIAN 2 INFORMATION
Parent/Guardian 2 Last Name
Your answer
Parent/Guardian 2 First Name
Your answer
Parent/Guardian 2 relationship to student
Your answer
Parent/Guardian 2 Primary Phone
Your answer
Parent/Guardian 2 Email Address
Your answer
Preschool Selection
Please note, the first option is your home school attendance area (based on your current address), where your child will attend Kindergarten.
Three year old preschool placements are subject to availability and can not be guaranteed. Placements are on a first come, first served basis and all submissions are time-stamped.
School Attendance Area *
Preschool Building Preference *
Required
For questions or if you wish to share additional information regarding your child's preschool application, please email the Preschool Program Secretary at kimm.randi@iowacityschools.org.
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