Registration

Student Information

Student's Name*

Name to be Used at School

Address*

Student's Gender*

Student Ethnicity*

Used for mandatory state reporting purposes only.

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*

Acknowledgement*

I acknowledge that my child MUST be fully Potty Trained prior to September 1st.

Are you considering your districts UPK?*

Yes

No

Are you considering your districts UPK?*

Yes

No

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*

Registration

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.