Registration Form

Student Information

Student's Name*

Name to be Used at School

Address*

Please Check

F

M

Birthdate*

Phone*

Email Address*

School District*

Current PVNS Family?*

Yes

No

Alumni PVNS Family?*

Yes

No

Parent/Guardian Information

Parent/Guardian #1*

Place of Employment*

Work Phone

Cell Number

Parent/Guardian #2*

Place of Employment*

Work Phone

Cell Number

Programs

Classes & times are subject to change. All classes have a minimum number needed to run.

Class Options*

2-Year Old Time/Day Options*

Must be 2 by September 1st

3-Year Old Time/Day Options*

4 day 3s must be 3 by June 30th and fully potty trained

4-Year Old Time/Day Options*

Are you considering your districts UPK?*

Yes

No

Transitional Kindergarten*

M-F Morning (5 day) 9:00-12:00

Student Placement*

Are there any special considerations for placement? (Carpool, time, & KDG. bus of sibling.) We cannot guarantee that you will get your first choice, but every effort is made to create the bes

Parent/Guardian Signature*

Reset

Date*

Student Information

Parent/Guardian Information

Programs

You will be notified via email if your child has been added to a class (payment details will be provided) or placed on a waitlist.