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Get the free Supplemental Pre-K/Kindergarten Enrollment Form

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This form is used to collect enrollment information for Pre-K and Kindergarten students, including details about the child's previous child care experiences and reading habits.
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How to fill out supplemental pre-kkindergarten enrollment form

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How to fill out Supplemental Pre-K/Kindergarten Enrollment Form

01
Obtain the Supplemental Pre-K/Kindergarten Enrollment Form from your school or educational authority.
02
Read the instructions carefully before starting to fill out the form.
03
Provide your child’s full name, date of birth, and any relevant identification numbers in the specified sections.
04
Complete the parent or guardian information, including your contact details.
05
Fill out sections related to your child's previous educational experience, if applicable.
06
Answer any health-related questions or provide necessary medical information.
07
Review the form for any missing information or errors before submission.
08
Submit the completed form to the designated school office by the deadline.

Who needs Supplemental Pre-K/Kindergarten Enrollment Form?

01
Families enrolling children in pre-kindergarten or kindergarten programs who need additional assistance or resources.
02
Parents or guardians seeking to secure a spot in early childhood education programs funded by specific grants or initiatives.
03
Children who may require special considerations based on their developmental or educational needs.
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It's never too late to enroll your child in preschool. Whether they're 3, 4, or 5 years old, preschool offers valuable opportunities for social, emotional, and cognitive development. .
Gross Yearly Income 2025 (earnings before deductions) Family Size100% of Poverty Guidelines Early Head Start, Head Start130% of Poverty Guidelines Early Head Start, Head Start 1 $15,650 $20,345 2 $21,150 $27,495 3 $26,650 $34,645 4 $32,150 $41,7954 more rows
Income Guidelines Family SizeMaximum Gross Yearly Family Income 2 $42,300 3 $53,300 4 $64,300 5 $75,3002 more rows
They must be residents of the Commonwealth of Pennsylvania. They must meet the income eligibility requirements of at or below 300% of the federal poverty level for their family size. The child must be between the age of 3 and younger than the Kindergarten entry age for the district that they reside in.
You'll also need to submit health and medical documents. This includes vaccination records showing your child is up-to-date on their shots. Early childhood programs need to know about any food allergies, health conditions, or medications your child takes as well. Providing emergency contact information is also crucial.
​Pre-K Counts is free to eligible families. Providers may charge for non Pre-K Counts programming such as wraparound child care.

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The Supplemental Pre-K/Kindergarten Enrollment Form is a document used to collect information about children enrolling in Pre-K or Kindergarten programs, ensuring compliance with educational requirements and regulations.
Parents or guardians of children who are enrolling in Pre-K or Kindergarten programs are required to file the Supplemental Pre-K/Kindergarten Enrollment Form.
To fill out the Supplemental Pre-K/Kindergarten Enrollment Form, parents or guardians should provide accurate personal and educational information about the child, including name, date of birth, and any relevant medical or emergency information as requested.
The purpose of the Supplemental Pre-K/Kindergarten Enrollment Form is to gather essential data for school enrollment, ensuring that schools can provide appropriate services and meet legal requirements for educational programs.
The information that must be reported on the Supplemental Pre-K/Kindergarten Enrollment Form typically includes the child's name, date of birth, address, parent or guardian contact information, and any special needs or health concerns.
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