Playful Pathways Preschool & Child Care Interest Form
Please complete this form to have your child placed on the waitlist for enrollment at Playful Pathways Preschool & Child Care located at 420 W Street, Bedford, IN 47421. Please complete one form for each child you wish to request enrollment for.  (This form is not for actual enrollment.  If your child's spot becomes available and your family is no longer interested, we will remove your child's name from this waitlist and move to the next family.)  
Sign in to Google to save your progress. Learn more
To follow Playful Pathways on Facebook click the link below.
To view the Playful Pathways Family Handbook click the link below.
Child's Date of Birth *
MM
/
DD
/
YYYY
If our family chooses to enroll at Playful Pathways, the requested date we would like our child to begin is *
MM
/
DD
/
YYYY
Is this child in your care as a foster child? *
Is either Parent or Guardian of this child currently employed by North Lawrence Community Schools? *
Is either parent or guardian of this child currently employed by a school corporation other than NLCS? *
Child's Legal Last Name *
Child's Legal First Name *
Street Address where child resides *
City, State, and ZIP in which child resides *
Please review the Federal Income Eligibility Guidelines for the 2023-2024 school year below to see if your family qualifies for breakfast, lunch, and textbook assistance. (This is NOT an application for this assistance, if your family chooses to enroll your child, an application will need to be completed at that time.) *
Captionless Image
Required
Please review the information below to see if your family would qualify for Family and Social Services Administration (or FSSA) Child Care Vouchers.    (This is NOT an application for vouchers, if your family chooses to enroll your child, an application will need to be completed at that time.)


*
Captionless Image
My child will be 5 years old on August 1 of what year *
Our family is interested in *
Required
Is this child receiving First Steps services? *
Required
We would prefer our child attend *
Required
Does your family have concerns or has a physician indicated that this child may have Special Needs? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Lawrence Community Schools. Report Abuse