Fraser School Interest Form

Fraser School Interest Form
Thank you for your interest in Fraser Childcare, Preschool and Pre-K!

Fraser School is an inclusive program where children of all abilities can play, learn, and grow together.

We offer full and part-time schedule options:
- Infant and toddler childcare
- Preschool
- Pre-Kindergarten
Programs are for children ages 6 weeks through the first day of Kindergarten.

IMPORTANT: This application is only for Fraser Childcare, Preschool and Pre-K. It does not put your child on a waitlist for Fraser Clinical Services.

For Fraser Clinical Services, scheduling, or billing questions, please call 612-767-7222.
How did you hear about us?*

Another parent/familyOnline searchSocial mediaAnother preschool or childcare centerUsing other Fraser servicesReferred by a Fraser employeeParent works at FraserPediatrician or healthcare workerOther
Where online (i.e. Winnie.com)?*
Child's Full Name*

First NameLast Name
Child's date of birth or due date*

MonthDayYear
Date
Any additional children you want to enroll?*

YesNo
2nd Child's Full Name*

First NameLast Name
2nd Child's date of birth or due date*

MonthDayYear
Date
Are you seeking part-time (less than 40 hours per week) or full-time (40 hours or more per week)?*

Part-timeFull-time
Requested start date:*

MonthDayYear
Date
Child's primary residence (CITY and STATE only)*
City and State
Full name of person completing Interest Form*

First NameLast Name
Relationship to child*
Do you need an interpreter?*

YesNo
What language?
Email*
example@example.com
Please provide the best contact number*
Please enter a valid phone number.
Does your child have a medical diagnosis, or would they require support while at Fraser School (i.e. adaptations, feeding concerns, medications, allergies, or other accommodations?)*

YesNo
Description of medical diagnosis and/or required support*
Tell us about your child's current development. Are there any changes, challenges or concerns you'd like us to know about?*
Should be Empty: