2024-2025

General Public Registration

Parent's Name

First Name

Last Name

Phone

(###)

###

####

Email

Child's Name

First Name

Last Name

Child's Birthdate

MM

DD

YYYY

Age on Sept. 1, 2024

(put 0 if child is under 12 months)

Preferred Enrollment Choice

Second Enrollment Preference

Notes

Anything you would like us to know?