Maine Township District 207 Preschool Application Form printable pdf download

MAINE TOWNSHIP DISTRICT 207 PRESCHOOL APPLICATION FORM

Child’s Full Name _________________________________________________________________________

Child’s Name Used _______________________________ Date of Birth___________ Sex___________ ____

(This is the name that the child will work on spelling)

Home Email Address_______________________________________________________________________

Father’s Name ___________________________________________________________________________

Address __________________________________ City____________________Zip_____________ _______

Phone________________________ Cell Phone (if available) _______________________________ _______

Occupation _________________________________________________ Work Phone__________________

Mother’s Name ___________________________________________________________________________

Address __________________________________ City____________________Zip_____________ _______

Phone________________________ Cell Phone (if available) _______________________________ _______

Occupation _________________________________________________ Work Phone__________________

Child Lives with ___ Father

___ Mother

___ Both

____ Other: _______________________________

In case of emergency, who should be contacted if you are unavailable?

Name _____________________ Phone _______________________ Relationship______________________

Brother’s Names

Sister’s Names

Age

Other people living in your home (relationship) __________________________________________________

Who will usually drop off and pick up your child: _________________________________________________

Other type of day care, religious school, or preschool attended: _____________________________________

Playmates ________________________________________________________________(names and ages)

Medical Problems, allergies or limitations:______________________________________________________

Please list any personality characteristics or other information that you feel will enable us to understand your

child (use back of application, if necessary).

________________________________________________________________________________________

Mail to the school of your choice:

Preschool

Maine East High School

Maine South High School

Maine West High School

2601 West Dempster

1111 South Dee Road

1755 South Wolf Road

Park Ridge, IL 60068

Des Plaines, IL 60018-1994

Maine Township District 207 Preschool Application Form