Preschool Screening Scheduler
Complete this to begin the new preschool registration for the 2025-2026 school year
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Email *
Screening Date:  *
Please choose "1" date below. 
Screening Time: (Tuesday, April 1)
If you choose Tuesday, April 1, please pick '1' time below. 
Screening Time: (Wednesday, April 2nd)
If you choose Wednesday, April 2nd, please pick '1' time below. 
Legal Name from Birth Certificate:
First Name: *
(From Birth Certificate)
Middle Name: 
(From Birth Certificate)
Last Name:  *
(From Birth Certificate)
Birth Date: (MM/DD/YYYY) *
Child's date of birth
Gender: *
Home Address: (# Street Apt. #, City, State, Zip) *
Parent Name: (First) 
Primary parent for enrollment purposes.
Parent Name: (Last)
Primary parent for enrollment purposes.
Phone Number: (XXX) - XXX - XXXX *
Parent Email Address:
 (Double check for errors)
Other siblings in the district: *
(if this item doesn't pertain to you mark with NA)
Custody
Is there a custody or parenting agreement in place for the child?
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