Preschool Tour Request

Preschool Tour Form

You will be contacted by director to schedule tour
STUDENT INFORMATION:
Student's First name*
Last name*
Date of birth (Student)*

MonthDayYear
Date
Are you qualified for DSHS subsidies

NOYESNot aware- Would like more info
FemaleMale
Please provide summary of any specific needs or questions you would like to discuss*
Please select the programes you are interested in
What are you looking for*

Full Day Pre-school/care (8 AM to 5 PM)Half Day Pre-school/care (9 AM to 1 PM)
PARENT/GUARDIAN(s) INFORMATION:
Parent's/Guardian's Name *

First NameLast Name
Cell Number *
Contact Email *
**I agree to receive class information on this email.
Approximate Date planning to join

MonthDayYear
Date
Where did you hear about us
*Action Items (School Use)
*Status (School Use only)
* What parents want (School Use only)
Should be Empty: