2016-2017 Preschool Pre-Enrollment Application

Preschool students must be four years old
on or before August 31st of the school year.

Preschool students are offered admission in the order in which their applications
are received online or in our office. There is not a lottery for Preschool admission.

I am interested in Reid Traditional Schools' Preschool at:
Painted Rock Academy

Student Information

Please enter the student's name in the boxes below (LAST, First, Middle):

Age on 8/31/16: and Birthdate:

Parent or Guardian Information

Name of person submitting form:
How are you related to the student?
What email address may we use to contact you?
What phone number may we use to reach you?
Mother's first and last name:
Father's first and last name:

Optional Alternate Contact Information:

Additional information

What is the name of the child's current or previous school?
What is the primary language spoken in your home?
Has the child ever been recommended for, tested for, or qualified for Special Education Services?
Please note that Painted Rock Academy Preschool does not offer Special Education Services.
What type? What school?
Does the child have an IEP (Individualized Education Program)?
Does the child have a 504 Plan?
Has the child been expelled from another educational institution?
Is the child in the process of being expelled from, or under long term suspension from, another educational institution?

Students with a brother or sister currently enrolled at the same campus receive Priority Status on the Preschool Waiting List.
Does the student have a brother or sister currently enrolled at Painted Rock Academy?
Are you completing another application for a brother or sister?
If yes to either question above, please list the names and grades of those siblings:

Legal Custody:
If other, please explain:

Please tell us how you heard about Reid Traditional Schools.
Internet SearchGreatSchools.orgBillboardMagazine
Other Referral Source:
Friend or Relative:

Questions or comments?

Enter the code below:

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