Preschool 2024-2025 Pre-Registration Form

Preschool 2024-2025 Pre-Registration Form

We offer preschool using a sliding fee scale. If you request tuition fee assistance, income verification documents will be required to complete this pre-registration process. You will need one of documents listed below available to upload before completing this form. You cannot save progress once you start the form.

Preschool Tuition: All classes are 2 hour and 45 minutes per day

2 days per week	$156 per month	3 and 4 year old classes
3 days per week	$234 per month	3 and 4 year old classes
4 days per week	$311 per month	4 year old classes
5 days per week (Voluntary Prekindergarten)	Free for specific attendance areas only	4 year old classes

One time annual $49 registration fee due with first monthly payment (9 payments total)

If you request tuition fee assistance, accepted income verification document(s) are:
Child's First Name:*
Child's Last Name:*
Parent/Guardian First Name:*
Parent/Guardian Last Name:*
Parent/Guardian Phone Number*
Please enter a valid phone number.
Please enter primary Parent/Guardian email address for confirmation details and additional communication*
example@example.com
Birthdate of {typeA4} *

MonthDayYear
Date
What age will {typeA4} be on 09/01/2024*

Three (3) (birthdate 9/2/20-9/1/21)Four (4) (birthdate 9/2/19-9/1/20)Other
Are you requesting Tuition Fee Assistance (3yo)*

YesNo
If you are a resident of Anoka-Hennepin School District and you live in or attend child care in the Adams, Evergreen, Monroe, University or Madison attendance area, your four-year-old is eligible for Voluntary Prekindergarten. If you are unsure, please use the following link and enter your address or your child care address to determine your attendance area.

Elementary School Attendance Area
Do you reside or attend child care in the Adams, Evergreen, Monroe, University or Madison attendance area?*

YesNo
In which attendance area do you reside? *
Are you requesting Tuition Fee Assistance (Outside of Adams, Evergreen, Monroe, University or Madison)?*

YesNo
Do you want 5 day preschool with Transportation*

YesNo
Are you requestion Tuition Fee Assistance (4yo)*

YesNo
What is your total household size? Household members include all people living in the same household, related or not (such as grandparents, relatives, and friends who share income and expenses.)*
The next question asks for your pre-tax income.

Income includes:
- Income from employment
- Child Support
- Alimony payments
- Other Cash Assistance from state or local government
- Unemployment benefits
- Worker’s compensation
- Veteran’s benefits
- Strike benefits
- Social Security, disability benefits
- Regular income from trusts or estates
- Annuities, Investment income, Rental income
- Regular cash payments from outside household
For your Family of 2, What is your annual household pre-tax income?*
For your Family of 3, What is your annual household pre-tax income?*
For your Family of 4, What is your annual household pre-tax income?*
For your Family of 5, What is your annual household pre-tax income?*
For your Family of 6, What is your annual household pre-tax income?*
For your Family of 7, What is your annual household pre-tax income?*
For your Family of 8, What is your annual household pre-tax income?*
For your Family of 9, What is your annual household pre-tax income?*
For your Family of 10, What is your annual household pre-tax income?*
Your tuition fee assistance is:
If Full Tuition, no income verifcation is required.
You will be asked to provide your income verification documents below. Submit the most current documentation available for all income sources.

If you are not receiving fee assistance and will pay Full Tuition, income verification documentation is not required.

Acceptable proof includes:
- The previous year’s Income Tax Return (preferred)
- Previous year W-2 form
- Public Assistance: Letter from agency providing benefits which states amount of benefits/checks
- Financial aid statement, or a statement from an employer on company letterhead
- Letter verifying child is legal responsibility of the court (Foster child)
- Pension, SSI, Retirement Social Security: Letter from agency providing benefits which states amount of benefits/checks
- Unemployment, Worker’s Compensation, strike benefits: Copies of 3 most recent checks
- Most recent (consecutive) 30 days of pay stubs for each income earner
- Other Income (i.e. farm, self-employment, etc.): previous year Form 1040 and Schedule C
Please upload all necessary income forms (pdf, doc, docx, xls, xlsx, csv, txt, rtf, zip, jpg, jpeg, png)*

Cancelof
Do you want transportation*

YesNo
We may have preschool options available for you. Please call 763-506-1500 to learn more about the class options for your child. Please click Submit to receive an email with further details.
ALL THE BELOW ARE HIDDEN FOR CALCULATIONS>>> THESE QUESTION WILL NEVER BE DISPLAYED
Free Tuition
25% of Tuition (75% off)
50% of Tuition (50% off)
75% of Tuition (25% off)
Full Tuition (0% off)
Family Income
What is student's tuition scholarship
Tuition is not Free
SCH4
Family Member total for use in emails
Should be Empty:

Preschool 2024-2025 Pre-Registration Form

ALL THE BELOW ARE HIDDEN FOR CALCULATIONS>>> THESE QUESTION WILL NEVER BE DISPLAYED