Preschool Classes – Portage Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastNicknameParent/Guardian Name *FirstLastAge of Student *Email *Phone *Class Selection *Puppet Playtime; October 22-24Farmyard Friends; October 29-31Outer Space; November 5-7Ocean Explorers; November 12-14Dinosaur Discovery; November 19-21At the Beach; December 3-5 of Class Name Case Manager *Put N/A if not applicableCase Manager Phone # *Put N/A if not applicableCase Manager Email *Put N/A if not applicableAllergies/Behaviors/Known Medical ConditionsSubmit
