2019 Preschool Application

When enrolling for Fall 2019, your child must be
3 years old on or before December 2, 2019.


ex: 10/05/1980​​
Ex: 555-555-5555
Ex: 555-555-5555
Ex: 555-555-5555
Email required for Confirmation Information​​​​​

ex: 10/05/1980​​​

Family Income: Please select the source and note the total monthly amounts for both adults listed in the above section.

Include: Employment, Child Support, Disability, Unemployment, TANF, Foster Care.​​​​​​​
Enter Total Gross Monthly Income​​​​​​

Children: Please list all children living in the home beginning with the youngest.

ex: 10/05/1980​​
ex: 10/05/1980​​​
ex: 10/05/1980​​​
ex: 10/05/1980​​​
Please select your first, second and third choices for your preschool location.​​​​​​​​​​​​​​​
Comments/Questions/Important Information​