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2022-23 Preschool Application
(Required for consideration in the preschool lottery and/or the preschool waiting list)
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* Indicates required question
Email
*
Your email
Child's First Name (as it appears on birth certificate)
*
Your answer
Child's Middle Name (as it appears on the birth certificate)
*
Your answer
Child's Last Name (as it appears on birth certificate)
*
Your answer
Child's Date of Birth (Must be age 3 on/before August 1, 2022)
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
City, State, Zip
*
Your answer
Phone Number (must include area code)
*
Your answer
Placement preference (1st choice)
*
A.M. Session (8:45 a.m. - 11:15 a.m.)
P.M. Session (12:45 p.m. - 3:15 p.m.)
Either Session
Placement Preference (2nd choice)
*
A.M. Session (8:45 a.m. - 11:15 a.m.)
P.M. Session (12:45 p.m. - 3:15 p.m.)
Either Session
Student can only attend if placement is available for 1st choice placement option
Parent / Legal Guardian's Full Name
*
Your answer
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