KINDERGARTEN REGISTRATION QUESTIONNAIRE
“Pre-Kindergarten Experience"
Student's Name
First Name
Last Name
Parent/Guardian
Please answer the following questions:
1. Did your child attend a preschool or child care program in Delaware this past year?
*
Yes
No
2. If yes, in which county did your child attend the program?
3. If yes, what was the name of the program?
Parent/Guardian Signature:
Date:
/
Month
/
Day
Year
Submit
Should be Empty: