Welcome to the Preschool Program Application!
If you already created an application, please fill in the same information below as your original application and you will be taken directly to it.
Child's Legal First Name
*
Legal Middle Name
Legal Last Name
*
Date of Birth
*
Children must be at least three (3) years old before they can start the program. Children also need to be under five (5) years old as of December 31st.
Date of Birth is over the current date.
Gender
*
F - Female
M - Male
U - Unknown
X - Unspecified
Parent / Guardian First Name
*
Parent / Guardian Last Name
*
Parent / Guardian Email
*
Phone Number
*
Has your child had any of the following assessments or therapy?
Speech Language Pathology
Occupational Therapy
Autism
Other
Begin
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