Preschool Registration 2019-20 School Year
Child's First Name *
Your answer
Child's Middle Initial
Your answer
Child's Last Name *
Your answer
Child's Date of Birth - mm/dd/yyyy for example 02/11/2015 *
Your answer
Name you prefer used on papers, cubbies, artwork, etc. *
Your answer
Sex *
Student's Mother's Name (first and last name)
Your answer
Student's Father's Name (first and last)
Your answer
Student's Address (physical home address please include PO Box when applicable) *
Your answer
City - Please spell out city (Fort Recovery) *
Your answer
State - Please spell out state (Ohio, Indiana) *
Your answer
Zip *
Your answer
Home Phone Number - if you have a home phone (Please add dashes 419-375-1221)
Your answer
Mother Cell Number - (Please add dashes 419-733-1111)
Your answer
Father Cell Number - (Please add dashes 419-852-0000)
Your answer
Primary Email Address
Your answer
Home School District *
Class Hours - For children who will not go to kindergarten in Fall of 2020
** Student must be 3 by June 1st and toilet trained.
Number of Days per week for children who will most likely attend kindergarten in Fall of 2020
**must be 5 years of age by August 1 to attend Kindergarten at Fort Recovery
Class Hours - For children who will most likely attend kindergarten in Fall of 2019
**must be 5 years of age by August 1 to attend Kindergarten at Fort Recovery
Other students to schedule with my child due to carpool
Your answer
Please send me information regarding reduced preschool tuition *
Special Services for my child
My child will need transportation to school in morning or home from school in afternoon *
Depending on preschool child's schedule
Pick Up or Drop off information
Name & Address (male homeowner`s name is preferred) John Smith 221 St. Rt. 12 not Sally Smith
Your answer
Currently the bus stops at this address for other students
Other students at your requested bus stop
Childcare provider or babysitters name
Your answer
Please tell us how you heard about tonight's registration.
Check all that apply
Comments, Questions, Concerns, or Things the teachers need to know...........
Add any clarification, post a question, or tell the staff something we need to know
Your answer
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