Pre-K Registration Form:

    School Location


    Child Information














    MaleFemale









    If the Student is transferring from another Pre-K, please provide the following:



    Parent Guardian Information

    Parent/Guardian #1 Information






    Please note - you only need to enter the address if it is different from the child

























    Parent/Guardian #2 Information































    Emergency Contact Information

    Emergency Contact #1








    Emergency Contact #2










    Child Maintenance Information:


    BOTH PARENTSFATHERMOTHEROTHER


    BOTH PARENTSFATHERMOTHEROTHER

    The child may be released to the person(s) signing this agreement or to the following people:

    Person #1 your child can be released to




    Person #2 your child can be released to




    Person #3 your child can be released to




    Person #4 your child can be released to




    Health Information:

















     

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