Lansing No Fee Pre-Kindergarten Application 2022-2023 School Year

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Students, who are age eligible are 4 and 5 years old; in their year before kindergarten. Students who are 5 on or before August 31st, are not eligible.

For office use only:
Date Received: _______________________. Time Received: _______________________.

Program if Eligible:____________________. AM or PM:____________________________.

Not Eligible Reason: _________________________________________________________________.

Student Legal Name: *

Student Date of Birth: *

YYYY

Student Gender: *

Male

Female

Prefer not to say.

Parent/Guardian Name: *

Address: *

Phone Number(s): *

Email Address: *

What is your preferred method of communication: *

E-mail

Phone

US Postal Service

Other:

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