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3 Year Old Preschool Application

Please complete the form below. Required fields marked *

Student's First and Last Name*

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Nickname

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Student Date of Birth*

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Mom/Guardian Name*

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Mom Street Address*

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Mom City*

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Mom Zip/Postal*

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Dad/Guardian Name*

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Dad Street Address

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Dad City

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Dad Zip/Postal

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Mom/Guardian Email*

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Dad/Guardian Email

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Mom/Guardian Phone Number*

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Dad/Guardian Phone Number*

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Mom Workplace and Work Phone Number

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Dad Workplace and Work Phone Number

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Marriage Status*

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Child lives with*

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Name of Resident School District*

Alden-Conger, United South Central, etc.

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If you ARE a resident of the Alden-Conger school district, there is NO fee for preschool.
If you ARE NOT a resident of the Alden-Conger school district and you DO open enroll so your child will attend kindergarten in Alden-Conger, there is NO fee for preschool.
If you ARE NOT a resident of the Alden-Conger school district and you DO NOT open enroll your child for kindergarten, then you will be charged the following tuition. Tuition is due at the beginning of each month.
- 3 Year Old Classes = $100 per month

Please indicate your first choice with a 1 and your second choice with a 2.

Class size will be limited. We do not guarantee your first choice.

Monday, Wednesday - 12:15-3:00 pm (Mixed age class)*

3-4 year olds by September 1, entering kindergarten in the fall of 2025

Answer Required

Tuesday, Thursday - 8:00-10:45 am*

3-4 year olds by September 1, entering kindergarten in the fall of 2025

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Emergency Contact Information (other than parents/guardians)

Name #1 and Relationship*

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Phone Number*

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Name #2 and Relationship

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Phone Number

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Additional Information

How will your child get home?*

Busing is only available for preschool when riding with older sibling - If older sibling is out sick, preschooler will need to be picked up.

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If there is an early out, my child will...*

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Any health information I/we need to know?

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Any allergies?

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What are your child's strengths?*

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What is the most challenging thing about raising your child?*

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Describe your child's social and emotional behavior?*

i.e. Personality traits, how they work/play with others.

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Please check any previous experience your child has been involved in:

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Daycare

Preschool

Library Story Time

YMCA Playtime

Other:

If yes, what type of services?

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Are there any other things I/we should know about your child?

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Please list any siblings with their birth dates.*

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*Reminder: Preschoolers need to be independently toilet trained to attend preschool.

*Up-to-date immunization records and open enrollment forms (if applicable) must also be submitted BEFORE classroom placement. You may attach them below, or submit them in paper form to Tara Roberts in the district office or Nicky Weigel in preschool.

Immunization Records

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Choose a file or drag it here.

Open Enrollment Form

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Choose a file or drag it here.

Confirmation Email

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