Preschool Online Application

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Preschool Online Application

TVUSD Enrollment Form

Preschool Application

Student Information

Student Last Name:

Student First Name:

Student Middle Name:

Student Date of Birth:

Student Gender:
Male
Female
Non-Binary

Does your student have a sibling currently attending TVUSD schools?
Yes
No

Sibling Information

Sibling Name:

Sibling Grade Level:

Sibling School Site:
Tanque Verde High School
Emily Gray Junior High
Agua Caliente Elementary School
Tanque Verde Elementary School

Parent/Guardian Information

Last Name:

First Name:

Street Address:

City:

State:

Zip Code:

Email Address:

Phone Number:

Do you live within TVUSD boundaries? (You will be asked to provide at least one form of residency verification to secure your spot.)
Yes
No

Is either parent or legal guardian an employee of TVUSD?
Yes
No

Parent/Guardian Employee

Employee Wrok Site:
Tanque Verde High School
Emily Gray Junior High
Agua Caliente Elementary School
Tanque Verde Elementary School
District Office
Transportation

First and last name of Parent or legal guardian employed by TVUSD:

Preschool Schedule

There are three session options to choose from. Please mark how many days are needed and rank them in order of preference (1 is most desirable).

Full Day (8:30 – 2:15, except for Wednesdays, 8:30 – 1:00)
5 days/week ($625/month)
3 days/week ($372/month)
2 days/week ($248/month)

Choice Ranking: 1 2 3

AM Session (8:30 – 11:00)
5 days/week ($412/month)
3 days/week ($248/month)
2 days/week ($166/month)

Choice Ranking: 1 2 3

PM Session (11:45 – 2:15)
4 days/week ($328/month)
2 days/week ($166/month)

Choice Ranking: 1 2 3

Please explain your desired schedule preference in detail:

Before/After Care (based on availability; applies only to days child attends preschool). Please check any services needed.
Before Care- 7:30 – 8:30 AM ($34/month)
After Care- 2:15 – 4:00 PM ($66/month)

Special Education Service Needs

The following questions help us to determine our capacity to serve your child.

Has the student ever had an Individualized Education Program (IEP)?
Yes
No

Has the student ever been evaluated for special education services?
Yes
No

Has the student received any special services but does not have an IEP?
Yes
No

If you checked YES to the question above, please check the services needed:
Resource
Self-Contained
Inclusion
Speech Therapy
Occupational Therapy
Physical Therapy
None

Other Service Needs

Does the student have any chronic health issues that might require special nursing and or health services?
Yes
No

If you answered YES, please explain:

Attestation

If my child is accepted, I affirm that my child will abide by the rules, standards, conditions and policies of the school and the District.
Yes
No