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2020-2021 Pre-K Enrollment Application

Child must be 4 years old on or before August 15, 2020.

Once you begin the application, you will not be able to exit and return to it.  Please make sure that you have the following documents available to be uploaded.

  • Child’s certified birth certificate
  • Child’s social security card
  • 2 Proofs of residence
  • TN Department of Health Immunization Record  with the physical statement on the form signed by the physician – see picture Picture of signature area for physician for physical examination
  • Proof of income (Pay check stub, social security check, etc.)

**Submission of this application does not mean that your child has been accepted into the program.  Priority enrollment is given to students based on families meeting income eligibilty guidelines.  Students whose family income is above the income eligibility requirement will be placed on the waiting list.

Hardeman County Schools Pre-K Application for Enrollment



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Parent/Guardian #1 Address Information


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Min: 1 Max: 5
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Parent/Guardian #2 Address:


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Min: 1 Max: 5
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Alternative Primary Emergency Contact Address:


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Alternative Secondary Emergency Contact Address:


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Medical Information

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Home Language Survey

If a language other than English is marked for any of the following questions, then the student must be assessed for English proficiency in order to determine whether or not the student will need ESL support services. If an assessment is necessry, please contact Mr. Wooden.





Nighttime Residence Survey


US Military Service of Parents/Guardians


Signatures

By clicking yes, I affirm that all information given above is true and correct. I understand that if it later determined that the student enrolled with this application is not a legal resident of this school zone, the student will be withdrawn immediately and enrolled in the properly zoned school.



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