Daviess County Public Schools Enrollment Form Page 3

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Daviess County Public Schools
Student First Name:
Student Last Name:
Preschool Registration
Kindergarten Registration
Prior Educational Setting:
Which of the following best describes your child’s previous educational settings?
Attended a DCPS Preschool
Attended another Public School Preschool (ie Hager Preschool)
Attended a Headstart Program (ie Helen Sears, Dar-Nek)
Attended a Private Preschool (ie Settle Memorial, Peace Lutheran)
Attended a Day Care Preschool
Please include the names and dates of attendance:
Preschool
Dates of Attendance
From
to
From
to
From
to
Did not attend a formal preschool
Educational Community Resources:
Which of the following community resources has your child participated in?
Daviess County Public Library
Imagination Library
Owensboro Science Museum
Daviess County Parks and Recreation
Owensboro Parks and Recreation
Other: Please Specify
Once Completed:
• Print this form
• Add your signature where necessary
• Turn in to the school where your child will be attending
Daviess County Board of Education
Mr. Frank G. Riney, III, Chairperson, Ms. Dianne B. Mackey, Vice-Chairperson
Merritt Bates-Thomas, Randall E. King, M.D., and P. Mike Clark
DCPS IS AN EQUAL OPPORTUNITY EMPLOYER

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