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Hodgson Preschool Application

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

School Year (example 2024-2025)*

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Session Preferred

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Email Address*

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Your (First & Last) Name*

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Child's (First & Last) Name*

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Nickname

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Child's Age*

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Child's Birthdate*

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Child's Sex*

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Male

Female

Telephone Number*

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Address

Street Address*

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Development

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City*

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Zip/Postal*

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Father's (First & Last) Name*

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Father's Work Phone Number

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Father's Place of Employment*

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Mother's (First & Last) Name*

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Mother's Work Phone Number

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Mother's Place of Employment*

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Emergency Contact (Other than parent)*

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Emergency Contact's Phone Number*

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Child's Doctor*

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Doctor's Phone Number*

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Names & Ages of Brothers & Sisters*

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Previous School Experience*

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

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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.*

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Yes

Confirmation Email

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