4 Year-Old Pre-K Registration - Ms. Beckel - Blooming Prairie Public Schools ISD 756

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4 Year-Old Registration Form

Registration Requirements

Dear Parents,
When registering you will need to complete the free/reduced lunch form, this is at the end of registration and is required. It is used to qualify you for free or reduced tuition. There is an option to attach immunization records also, this is not required as they can be turned prior to the first day of school. Thank you!


Child's Full Name:	*

Name child will use:

Date of Birth:	*

Gender:	*

Does your child have an IEP in place or in progress?	*

Is your child Open Enrolling (out of district)?	*

Mother's Name:	*

Address:	*

Address:

City:	*

State:	*

County	*

Zip:	*

Phone Number:	*

E-mail Address:	*

Education Level:	*

Father's Name:	*

Address:	*

Address:

City:	*

State:	*

Zip:	*

Phone Number:	*

E-mail Address:	*

Education Level:	*

You need to submit a complete student immunization record.

Please indicate a class preference	*

Indicate second choice class preference	*

Free and Reduced Online Form

Send a copy of the completed form to this email address :

* Indicates Required fields.