Colwich Elementary School

Please Fill Out The Preschool Registration Form Below

To enroll your child and secure their spot in the Renwick USD #267 Preschool program, please return this selection form and a $50 non-refundable deposit. Enrollment is on a FIRST-COME, FIRST-SERVE basis and class sizes are limited to 20.

I wish to enroll my child in the Renwick USD #267 Preschool program. My child will be the following age by August 31, 2023:

Reaquired field: 3

Reaquired field: 4

Reaquired field: 5

I prefer my child to be in the following class:

Reaquired field: 3 AM

Reaquired field: 4 AM

Reaquired field: 4 PM

My child has an IEP (Individualized Education Plan):

Reaquired field: Yes

Reaquired field: No

Student's Name:

Student's date of birth:

Mother's Name:

Mother's Phone Number:

Mother's Email:

Reaquired field: Mother's Address:

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Father's Name:

Father's Phone Number:

Father's Email:

Reaquired field: Father's Address:

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Your child may qualify for free preschool tuition based on the following at-risk qualifications per KSDE. Please check any boxes that may apply:

Reaquired field: None of the below apply.

Reaquired field: Qualifies for free lunch program on September 20, 2023

Reaquired field: Single parent family: on the first day of school, the custodial parent is unmarried.

Reaquired field: Teen parent: at least one parent was a teen when the child was born.

Reaquired field: On the first day of school, either parent lacks a high school diploma/GED.

Reaquired field: Limited English proficiency/Migrant status

Reaquired field: Lower than expected developmental progress in the areas of cognitive development, physical development, communication/literacy, social-emotional behavior, or adaptive behavior/self-help skills. (The school will screen current/incoming students for this and discuss with parents.)

Reaquired field: Department of Child and Family Services (DCF) referral

Please submit a $50 non-refundable deposit to Colwich Preschool by February 1, 2023. Make checks payable to CES.

Colwich Elementary School, 401 S. Marian, Colwich, KS 67030

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