Fairhaven Public Schools Integrated Preschool Program- Peer Role Models 
Please complete the application for your child to be screened for our Preschool Peer Role Model program.
We will have rolling admissions for our preschool. The cost of the program is $225.00 per month. Morning preschool for 2.9 and 3 year olds is M-TH 8:40 - 11:10 AM. Afternoon preschool for 4 year olds is 12:00 - 2:30 PM M-F.
 
*If we are at capacity, any applications received after this date will be added to a waitlist.
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Email *
Untitled Title
Child's Last Name *
Child's First Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender 
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Primary Home Language *
Home Address *
Parent/Guardian First & Last Name *
Relationship to Child *
Parent/Guardian Phone Number
 *
Parent/Guardian Email
Parent/Guardian First & Last Name
Relationship to Child
Parent/Guardian Phone Number
 *
Parent/Guardian Email
List any Siblings and Ages 
(example: Lucy Lu 13)
Does your child any have Daycare/ Preschool experience? *
If Yes, Where and How long they have been there? 
(example: Little People's College 24 months)
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