2022 Preschool Lottery Form
Please fill out the Preschool Lottery Form to enroll your child in our Preschool Lottery for the 2022-2023 school year.  Applications must be received by Friday, February 4, 2022.  We have full day and half day options available.  Community peers must be 4 years old by August 31st to be considered for full day and 3 years old by August 31st to be considered for the half day.

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Date *
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Child's First Name *
Child's Last Name *
Child's Date of Birth (month/day/year) *
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Parent's First Name *
Parent's Last Name *
Address *
Home Telephone *
Work Telephone *
Cell Telephone *
Email address *
My child is currently enrolled in the Integrated Preschool. *
My child is a student with a disability and already enrolled in the Integrated Preschool. *
Program Preference (please select AM or PM) *
Required
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