New Preschool Center Interest Form

The Dubuque Community School District is excited to open a new state-of-the-art preschool center in Dubuque’s industrial center for the start of the next school year.

The 18,000-square-foot preschool center, located in the soon-to-be-renovated former Medline building on Chavenelle Road, will also offer streamlined access to wraparound childcare programming in the adjacent Dubuque Community Y Early Learning Center.

The district’s new center was designed entirely with our earliest learners in mind, including:

Up to 10 newly renovated classrooms
A fully accessible outdoor playground
Specially designed sensory spaces
Meal service and common spaces
A dedicated team of preschool teachers and support staff

LET US KNOW YOU ARE INTERESTED BY COMPLETING THE FORM BELOW.

IMPORTANT NOTE: The form below indicates interest in the new preschool center but IS NOT an enrollment or registration form. By completing this form, it will ensure that you are among the first to receive updates on the new preschool center.

Parent/Guardian Name

First Last

Parent/Guradian Email

Parent/Guardian Phone

Student Name

First Last

Student Date of Birth

Which elementary school home boundary does the student reside in?

Do you have a second student enrolling in preschool?

Yes, I have a second student enrolling in preschool

No, I do not have a second student enrolling in preschool

Student 2 Name

First Last

Student 2 Date of Birth

Which elementary school home boundary does student 2 reside in?

Do you have a third student enrolling in preschool?

Yes, I have a third student enrolling in preschool

No, I do not have a third student enrolling in preschool

Student 3 Name

First Last

Student 3 Date of Birth

Which elementary school home boundary does student 3 reside in?

Interest in Student(s) Attending New Preschool Center

YES, I am interested in my student(s) attending preschool in the new preschool center

Interest in Dubuque Community Y Wrap-around Child Care

Wrap-around child care provided by the Dubuque Community Y in its adjacent Early Learning Center will be available to interested families for a fee.

YES, I am interested in wrap-around child care

NO, I am not interested in wrap-around child care

Information Sharing

By checking the box below, I acknowledge that I give the Dubuque Community School District permission to share my name and contact information with the Dubuque Community Y in order to receive information regarding wrap-around child care services.

YES, I give the district permission to share my information with the Dubuque Community Y

NO, I do not want my information shared