2020-2021 Preschool Contact Information Survey

St. George CCSD No. 258 is excited to provide a multi-age preschool program for 2020-2021. The blended program will serve children who will be 4 years old by September 1, 2020 and who are not eligible for kindergarten (5 years old by September 1, 2020). Children with disabilities (3-5 years old) are also served by the program but do not need to fill out the contact form below.

Please provide the information below. You will be contacted about the new preschool program at St. George CCSD No. 258.

Thank you!

1.Please enter the following information.(Required.)

Parent's Name

Child's Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

2.What is your child's birthdate?(Required.)

Birthdate

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

3.Child's Gender(Required.)

Male

Female

Current Progress,

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