District 622 Preschool Catalog 2019-2020 Preschool Catalog - Page 2

Online registration available at www.isd622.org/preschool 2019-2020 Registration Form After completing this registration you will receive enrollment forms. Your child will not be placed into a class until the entire enrollment packet including immunizations and birth certificate are received. For office use only Date Registration Received: □ Male □ Female Child’s Full Name: Birthdate: Home Phone: Home Address: City State My child has participated in Early Childhood Screening: Zip □ YES □ NO Parent 1/Guardian Name: Parent 2/Guardian Name: Address: Address: h | w | c Alternate Phone: Email Address: h | w | c Alternate Phone: Email Address: Look up your elementary school attendance area at www.isd622.org/boundarymap Where will your child attend kindergarten? Please list your preference of preschool class by location, morning/afternoon, and days of week: First Choice: Location: Second Choice: Location: Third Choice: Location: □ Morning □ Afternoon Days of Week: □ Morning □ Afternoon Days of Week: □ Morning □ Afternoon Days of Week: Are you interested in joining the District 622 Early Childhood Advisory Council? □ Yes □ No A $50 non-refundable registration fee is required with each registration (except for applications for Richardson or Webster) The first and last month’s tuition payments are due by September 1, 2019. Check #: Please charge $50 to: □ Visa □ Mastercard □ Discover Card #: Exp. Date: CVV: Signature: □ Reduced fees may be available to families who qualify. Check here to have a Reduced Fee Application mailed to the child’s home address listed above. The form is also available online at www.isd622.org/preschool. Children who are 5 years old on or before September 1, 2019 are not eligible to receive reduced fees due to state regulations. Early Childhood & Family Programs | Beaver Lake Center | 1060 Sterling St N, Maplewood, MN 55119 | 651-702-8411 2