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Search for:

Home
About Us
News
Events
- Event Calendar
- 22-23 Calendar (PDF)
Academics
Athletics
Clubs & Activities
Registration
- Paw Prints Preschool Application
- Application for Enrollment
PTBC
Preschool
- Preschool Payments

Search for:

Paw Prints Preschool Application

Home/Paw Prints Preschool Application

Paw Prints Preschool ApplicationTammy Breece2022-06-06T16:19:20-07:00

For additional preschool information and rates, please CLICK HERE.

Preschool Application

Step 1 of 4

25%

Child's Full Legal Name*
First Middle Last
Gender*
- Male
- Female
Date of Birth*
MM slash DD slash YYYY
Student Address*
Street Address Address Line 2 City State ZIP Code

Mother's Name*
First Last
Primary Phone*
Work Phone
Other Phone
Mother's Email
Enter Email Confirm Email
Mother's Occupation
Mother's Address*
Same as student address

Street Address Address Line 2 City State ZIP Code
Father's Name*
First Last
Primary Phone*
Other Phone
Father's Email
Enter Email Confirm Email
Father's Occupation
Address
Same as previous

Street Address Address Line 2 City State ZIP Code

Has your child previously attended pre-school?*
- Yes
- No
How many years of preschool?
Name/Phone of prior preschool
Why are you considering Paw Prints Preschool for your child?*
List anyone currently attending or applying for Telesis that the applicant is related to, including relationship.
Please provide any additional information that you feel will be helpful in providing your child with the best possible preschool experience (Child’s likes, dislikes, favorite things, etc.)*

To the best of your knowledge, do the following apply to the student(applicant): Please check all that apply*
- Learning Problems
- Behavior Problems
- Specialized Needs
- Child has been evaluated
- Child has received IEP services
- Child is CURRENTLY receiving SpEd services
- Child has been EXITED from SpEd services
- Child is on a 504 Plan
- Child has been expelled
- Child is CURRENTLY on probation
- None of the above
If child is currently on IEP, please upload IEP paperwork.
Drop files here or

Max. file size: 10 MB.
Please provide a written explanation below to any items that are marked above.
Please provide any additional information that you feel will be helpful in providing the applicant with the best possible educational advantages.
Name of personal making application*
First Last
Relationship
Phone
Date
MM slash DD slash YYYY
Signature*
- By checking this box I confirm that the information provided in this application is true and correct to best of my knowledge.
I was referred to Telesis by: (Type "NA" if you were not referred by anyone)*
How did you hear about us?*
- Ad in newspaper
- Shopper/Connector Magazine
- Word of Mouth
- Internet Search
- Friend referral (if selected, please enter name above)
- Word of Mouth
- Other
Captcha
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Telesis Preparatory Academy

2598 Starlite Lane
Lake Havasu City, Arizona 86403

Phone: 928-855-8661

Fax: 928-855-9302

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