UPK Registration

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Welcome to Midlakes!!

Families may use this form to share their interest in the Universal Pre-Kindergarten program offered by our Children's Place at Midlakes Elementary School for the 2022-2023 school year. To be eligible for UPK for the upcoming school year, a child must be a Midlakes resident and be four years old by December 1, 2022. Contact Jacob McNabb at jmcnabb@midlakes.org for more information.

	Preferred Time Slot*
	Preferred Time Slot* Full day Half day a.m. Half day p.m.

	Student Name*

	Date of Birth*

	Gender*

	Parents/Legal Guardians*

	Home Address (include complete information)*

	Phone Numbers*

	Home Language*

	Parent/Guardian Email Address (must be valid email address)*

	Additional Comments (rank preferred time slots, etc.)