Pre-K — 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 25th, 2021 *

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 us 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 — 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

iedprogram2@gmail.com

Apply online

Recent Photos

Newsletters (click to read all)

© 2015 iedprogram.org

Alameda Pre-K

Our Alumni

Pre-K — 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

iedprogram2@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.