Preschool Interest 2020-21

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Please fill out this form and we will be in touch to set up a time to meet to complete an application.

Email *

Child's First Name *

Child's Last Name *

Child's Birth Date *

YYYY

Parent/Guardian Name *

Phone Number *

Preferred Preschool Location *

Crystal Lake Elementary (proposed site January 2021)

Lake Ann Elementary

Betsie Valley

The 3 year old free preschool that will start in January is a pilot program through the state of Michigan. The program has eligibility factors that require income information. In order to know which application your family will need to fill out please select your gross family income range below. This information is confidential and only used for purposes of the application. *

0-$20,000

$21,000-50,000

$51,000-75,000

$75,000-100,000

$100,000+

Other:

Would your child need busing? Does your child have a sibling attending the elementary school?

Yes

Maybe

Clear selection

How many people are in your family (living in the same house)? *

Other:

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