Re-Enrollment Survey Child's name * First Name Last Name Child's birthdate * MM DD YYYY Parent/guardian name * First Name Last Name Parent/guardian email * Will your child withdraw for the summer? Yes No What days of the week will your child attend? * We require a student be enrolled at least 3 days a week All 5 days Monday Tuesday Wednesday Thursday Friday Program Preschool: Morning 7:30am-12:15pm Preschool: Morning w/ Lunch 7:30am-1:00pm Preschool: Full Day 7:30am-5:30pm Pre-K : Morning 7:30am-12:35pm Pre-K: Morning w/ Lunch 7:30am-1:00pm Pre-K: Full Day 7:30am-5:30pm What class would you like your child to be in? Orange Red Purple Blue Green Pre-K Programs to consider Select the program(s) you would like more info on Pre-K Full Day Summer Camp (for grads of Pre-K, Young 5s, or Kindergarten) Additional comments or questions Thank you!