Pre-K Form — Irvington Extended Day Program

Pre-Kindergarten Form

Click to Download form

If you are interested in applying to the Irvington Extended Day Program, please fill out the form below:

Fields marked with an * are required

Custodial Parent's Name *

Relationship to Child *

Child First Name *

Child Last Name *

Date Of Birth (Day, Month, Year) *

Street Address *

Street Address Line 2

City *

State / Province *

Postal / Zip Code *

Home Phone *

Today's Date *

Age as of August 23RD, 2019 *

Expected Date of Entry (Month, Day, Year) *

E-mail *

What school will your child attend for Kindergarten? *

There is a non-refundable registration fee equal to one month’s tuition due with registration form.
Do not include payment with this Intake form.

Please inform Alameda/Beaumont of any changes in the information on this form.
Please note that this form is kept for one year and then discarded.

Financial information

Pre-K Form — Irvington Extended Day Program Irvington Extended Day Program

Pre-Kindergarten Form

Click to Download form

If you are interested in applying to the Irvington Extended Day Program, please fill out the form below:

There is a non-refundable registration fee equal to one month’s tuition due with registration form.
Do not include payment with this Intake form.

503.287.9751

iedprogram@gmail.com

Apply online

Recent Photos

Newsletters (click to read all)

© 2015 iedprogram.org

Alameda Pre-K

Our Alumni

Pre-K Form — Irvington Extended Day Program Irvington Extended Day Program

Pre-Kindergarten Form

Click to Download form

If you are interested in applying to the Irvington Extended Day Program, please fill out the form below:

There is a non-refundable registration fee equal to one month’s tuition due with registration form. Do not include payment with this Intake form.

503.287.9751

iedprogram@gmail.com

Apply online

Recent Photos

Newsletters (click to read all)

© 2015 iedprogram.org

Alameda Pre-K

Our Alumni

There is a non-refundable registration fee equal to one month’s tuition due with registration form.
Do not include payment with this Intake form.