Pre-K Counts

  • Date Format: MM slash DD slash YYYY
  • Please check box for type you will provided. (Documentation will be collected in a follow up email):
  • If the site chosen is full and you wish to participate virtually until a spot is available, please choose both options.
  • (If a 2 parent household, income must be included for both parents)
  • (Required qualifying factor) Must be below 300% on income guideline chart to qualify: Please check box for your household income:
  • (Check all that apply)
  • Acknowledgment and Sign Off

  • Date Format: MM slash DD slash YYYY