Allegan Area Educational Service Agency
0-3 Services
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AAESA School Readiness Program Registration
Child's Demographic Information
Child Unborn
Yes
No
Child's First Name
Child's Last Name
Child's Middle Initial
Child's Birthdate
Child's Race
Child lives with
Child's Gender
Male
Female
Unknown
Contact Information
Street Address
City
Zip
Home Phone Number
Mother
Mother's Last Name
Mother's First Name
Mother's Birthdate
Mother's Last Grade Completed.
High School Diploma
Some College
Bachelor\'s Degree
Master\'s Degree
GED
Less than High School Diploma
Father
Father's First Name
Father's Last Name
Father's Birthdate
Father's Last Grade Completed.
High School Diploma
Some College
Bachelor\'s Degree
Master\'s Degree
GED
Less than High School Diploma
Other School Readiness Program Required Information
School District
Allegan
Fennville
Hopkins
Martin
Otsego
Plainwell
Select school district in which you live
Comment:
DHS Assistance
No Assistance
Cash Assistance
Daycare Assistance
SSI
Number in Household
Yearly Household Income
Health Insurance Carrier
Child's Doctor
Register for AAESA SRP
Click Here
to register your child!
Events Calendar
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This month
Upcoming Events
No Latest Events
Family Calendar
Download this month's
Allegan County Family Calendar
.
