Tech Campus Preschool Application                       Fall 2021
Please complete the form below to add your child's name to the Tech Campus Preschool enrollment list for Fall 2021. Registration is opened first to our current families and then to new families seeking enrollment.    

Please note: Due to COVID safety and restrictions, we are still unclear about the reopening of the Fall 2021 preschool year. This application will hold your spot in the program until reopening is determined to be safe for everyone. Once a final decision has been made, we will contact you. If you have any questions, please contact us at jporreca@techcampus.org   
Child's Full Name (first and last): *
Child's Birthdate: *
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Child's Nickname (if applicable):
Child's Sex: *
Required
Child's Street Address (please include City, State, Zip Code): *
Parent/Guardian's Full Name (first and last): *
Parent/Guardian's Preferred Phone Number: *
Parent/Guardian's Preferred Email Address: *
If possible, I would like my child placed in the: *
How did you hear about our program? (check all that apply) *
Required
Would you be interested in scheduling a tour of our program? (A teacher will contact you to set this up) *
I understand that high school students, enrolled at Lake County Tech Campus for training experience, will participate as teachers and teacher aides in the preschool classrooms, under the direction of a certified teacher.  My child may be included in photographs, videotapes, and/or recordings for education and promotional purposes and will be included in an in-depth study completed by a high school student. *
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