MP4K is a one-year program intended to be completed the year prior to entering 5-year-old kindergarten. Students in the MP4K program will automatically be enrolled for their 5K year after completing one year of 4K.

 

Student Information(To be filled out by parent or legal guardian)
Student's Last Name
Student's First Name
Student's Middle Name
Birth Date
Gender
Age
First Name Student Goes By
Birth City
Birth County
Birth State
Race
Hispanic/Latino?
Resident Township
Student Resides With
My Child Attends Daycare At:
Primary Guardian Household Information
Street Address
City
State
Zip
Primary Phone
1. Parent/Guardian Last Name
First Name
MI
Relationship
Cellphone
Work Phone
Email Address
2. Parent/Guardian Last Name
First Name
MI
Relationship
Cellphone
Work Phone
Email Address
Secondary Guardian Household Information
Street Address
City
State
Zip
Primary Phone
1. Parent/Guardian Last Name
First Name
MI
Relationship
Cellphone
Work Phone
Email Address
2. Parent/Guardian Last Name
First Name
MI
Relationship
Cellphone
Work Phone
Email Address
School Census Information

(Other children infant to age 20, living in the same household, but not enrolled at MP)

Sibling 1: Last Name
First Name
Middle
Birth Date
Age
Gender
Sibling 2: Last Name
First Name
Middle
Birth Date
Age
Gender
Sibling 3: Last Name
First Name
Middle
Birth Date
Age
Gender
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Your Name
Your Email
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