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PRESCHOOL APPLICATION INFORMATION
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* Indicates required question
AGE ELIGIBILITY - Children must be 3 years old by August 31.
OTHER ELIGIBILITY - If your child is currently receiving special education services through an IEP, he/she is not eligible to apply for a tuition-based placement.
**TRANSPORTATION IS NOT PROVIDED
Please selection one option from "SECTION I - Options". If the option you want is not listed, please select one option from "SECTION II - Waitlist Options".
SECTION I - Options (morning are no longer available, please choose an afternoon slot or go directly to the waitlist):
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SECTION II - Waitlist Options:
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WAIT-LIST: FIRST AVAILABLE OPENING
WAIT-LIST: 4 Mornings 9:00am to 11:30pm - Monday, Tuesday, Thursday and Friday
WAIT-LIST: 4 Afternoons: 12:30pm to 3:00pm - Monday, Tuesday, Thursday and Friday
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Child's Date of Birth (child must be 3 years old by August 31)
*
MM
/
DD
/
YYYY
Child's Street Address
*
Your answer
Child's City / State / Zip
*
Billerica, MA 01821
North Billerica, MA 01862
Billerica, MA 01822
Nutting Lake, MA 01865
Pinehurst, MA 01866
Required
Parent/Guardian Last Name
*
Your answer
Parent/Guardian First Name
*
Your answer
Parent/Guardian Telephone (primary contact)
*
(please put in "xxx-xxx-xxxx" format)
Your answer
Parent/Guardian Email Address (primary contact)
*
Your answer
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