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Hodgson Preschool Application

Please complete the form below. Required fields marked with an asterisk *

School Year (example 2025-2026)*

Answer required for "School Year (example 2025-2026)"

Session Preferred

Answer required for "Session Preferred"

Email Address*

Answer required for "Email Address"

Your (First & Last) Name*

Answer required for "Your (First & Last) Name"

Child's (First & Last) Name*

Answer required for "Child's (First & Last) Name"

Nickname

Answer required for "Nickname"

Child's Age*

Answer required for "Child's Age"

Child's Birthdate*

Answer required for "Child's Birthdate"

Child's Sex*

Answer required for "Child's Sex"

Male

Female

Telephone Number*

Number Required

Address

Street Address*

Answer required for "Street Address"

Development

Answer required for "Development"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Father's (First & Last) Name*

Answer required for "Father's (First & Last) Name"

Father's Work Phone Number

Number Required

Father's Place of Employment*

Answer required for "Father's Place of Employment"

Mother's (First & Last) Name*

Answer required for "Mother's (First & Last) Name"

Mother's Work Phone Number

Number Required

Mother's Place of Employment*

Answer required for "Mother's Place of Employment"

Emergency Contact (Other than parent)*

Answer required for "Emergency Contact (Other than parent)"

Emergency Contact's Phone Number*

Number Required

Child's Doctor*

Answer required for "Child's Doctor"

Doctor's Phone Number*

Number Required

Names & Ages of Brothers & Sisters*

Answer required for "Names & Ages of Brothers & Sisters"

Previous School Experience*

Answer required for "Previous School Experience"

Physical Disabilities, Food Allergies, Special Information About Your Child or Comments*

Answer required for "Physical Disabilities, Food Allergies, Special Information About Your Child or Comments"

Upload Relevant Documents

DO NOT ATTACH A BIRTH CERTIFICATE OR DOCUMENTS CONTAINING SOCIAL SECURITY NUMBERS

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Choose a file or drag it here.

I acknowledge that the above information is true and valid. I understand I will need to physically sign this document before my child begins his or her session at Hodgson Preschool.*

Answer required for "I acknowledge that the above information is true and valid. I understand I will need to physically sign this document before my child begins his or her session at Hodgson Preschool."

Yes

Confirmation Email

Answer required for "Confirmation Email"