Early Childhood Careers - Preschool Application
Child's Information
Mother's Information
Father's Information
Is child presently living with both parents?
Yes No
Name, relationship and age of others residing in home.
Due to the length of time applications are on file and the number of families who move frequently, we need a person or persons to call locally who can help us contact you when your child's enrollment application is processed. Please list one or two people and their phone numbers that would help us keep in touch with you.
Please select the session below that you would like your child to attend.
AM - Tuesday, Wednesday, Thursday Session (9:00 a.m. - 11:00 a.m.)
PM - Tuesday, Wednesday, Thursday Session (12:15 p.m. - 2:15 p.m.)
I wish to have my child enter the Career Center preschool because.....