Thank you for your interest in the Rosen Family Preschool at Seattle's Hearing Speech and Deaf Center! Please complete this form to apply for enrollment. We will set up a follow-up appointment to review your child's placement in our program.

If you have any questions, please reach out to us at

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Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
Additional Info
Required Policies and Agreements
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I Agree to All of the Above
Questions or Concerns