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?

Where online (i.e. Winnie.com)?

Child's Full Name

First NameLast Name

Child's date of birth or due date

Date

Any additional children you want to enroll?

2nd Child's Full Name

First NameLast Name

2nd Child's date of birth or due date

Date

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

Requested start date:

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?

What language?

Email

example@example.com

Please provide the best contact number

Please enter a valid phone number.Format: (000) 000-0000.

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?)

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?