Lexington School District One Tuition-Based 4-Year-Old Kindergarten Program Application
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This form is to be completed if you are applying for a tuition-based 4-year-old kindergarten program. I understand by applying for this program I am responsible for a monthly payment of $525. To secure a spot in the program, I will provide a $250 deposit (which will be applied towards the first month's payment). I will be contacted by the school to provide this payment in the order in which my application was received. I understand that district transportation is not provided for the tuition-based program and I will need to provide transportation for my child to and from school. *
Which tuition-based program are you applying for your child to attend? *
Child's First Name: *
Child's Last Name: *
Date of Birth: (To be eligible for a 4-year-old kindergarten program for the 2021-2022 school year, your child must turn 4 by September 1, 2021.) *
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Sex: *
Child's Primary Language: *
Language Spoken at Home: *
Please check any services your child is receiving or has received in the past (check all that apply): *
Required
Is your child currently in a childcare, daycare or church center? *
If yes, which center?
Children must be fully toilet trained and independent in the bathroom prior to their enrollment in a TUITION-BASED 4-year-old kindergarten program. Independence means that the child wears regular underwear (not in pull-ups or diapers), must have the awareness to use the bathroom without reminders, be able to manage clothing without assistance, and have the ability to wipe or clean themselves appropriately to maintain proper hygiene. If your child is not yet fully toilet trained and you have concerns about his or her development, you may contact Special Services at (803) 821-1101 to schedule a screening appointment.
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Contact Information
Street Address: *
City: *
Zip Code: *
Primary email address (Please be sure that you monitor this email address regularly as this will be our main method of communication.) *
Phone Numbers
Primary Phone Number  ###-###-#### *
Alternate Phone Number ###-###-####
Family Information
Parent(s) in Household *
Parent/Guardian 1 relation: *
Parent/Guardian 1 Employer:
Parent/Guardian 1 Education Level:
Parent/Guardian 2 relation:
Parent/Guardian 2 Employer:
Parent/Guardian 2 Education Level:
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