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Pre-K Registration Packet Request Form

By filling out this form, you are requesting to receive a Pre-K Registration Packet for the 2018-2019 school year by email. Please note that because Madison Elementary Pre-K is on a first-come, first-served basis, this request does NOT secure your child a spot in the preschool program. Your submission date/time will be recorded once the Preschool Registration Packet is returned on:

Monday, April 16, 2018 from 7:00am - 3:00pm.
*No registration packets will be accepted before this time.

Contact Information

Parent First Name*

Parent Last Name*

Child First Name*

Child Last Name*

Child's Birthdate*

Address

Street Address*

City*

State*

Zip/Postal*

Home Phone

Mobile Phone*

Email *

Please allow 24-48 hours for our registrar to process your request.

Confirmation Email

Enter your email address here if you'd like to receive a confirmation upon submitting the form.