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Colbert Academy for Preschool Students (CAPS)
Application for School Year 2023-2024
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* Indicates required question
Email
*
Your email
Child Last Name
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Your answer
Child First Name
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Your answer
Child Middle Name
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Your answer
Preferred name of child?
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Your answer
Phone number
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Your answer
Race of child?
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Your answer
Gender of child?
*
Choose
Male
Female
Birthdate of child
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MM
/
DD
/
YYYY
Birthplace of child (City, State)
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Your answer
Current Street Address
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Your answer
City
*
Your answer
State
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Your answer
Please list the following information regarding the child's father: Name, Phone Number, Employer
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Your answer
Please list the following information regarding the child's mother: Name, Phone Number, Employer
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Your answer
Please list the following information regarding the child's guardian, if other than the parents: Name, Phone Number, Employer
*
Your answer
Current living arrangements of the child.
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Both Parents
Father
Mother
Guardian
Has your child ever attended a preschool program? If yes, where and for how long?
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Your answer
Is your child potty trained?
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Yes
No
Does your child have a known disability? If yes, what?
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Your answer
Is there any other information that you believe would help the teacher in relating to or instructing your child? (Medical needs, fears, current interests or dislikes, etc.)
*
Your answer
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