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Le Mars Community School District 4 - Year - Old Preschool Application 2022 - 2023 School Year
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Email
*
Your email
Child's First Name
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Your answer
Child's Middle Name
Your answer
Child's Last Name
*
Your answer
Child's Gender
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Male
Female
Child's birth date
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MM
/
DD
/
YYYY
Parent / Guardian #1 First Name
*
Your answer
Parent / Guardian #1 Last Name
*
Your answer
Parent / Guardian #1 Address
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Your answer
Parent / Guardian #1 email
*
Your answer
Parent / Guardian #1 home / cell phone
*
Your answer
Parent / Guardian #1 work phone
*
Your answer
Parent / Guardian #2 First Name
Your answer
Parent / Guardian #2 Last Name
Your answer
Parent / Guardian #2 Address
Your answer
Parent / Guardian #2 email
Your answer
Parent / Guardian #2 home / cell phone
Your answer
Parent / Guardian #2 work phone
Your answer
Please consider my child for enrollment in the Le Mars Community School District 4-Year-Old Preschool for the 2022 - 2023 school year.
In order to serve your child better, does he/she have any special health, social / emotional, behavioral, or specific learning needs? Please explain them in the space below. If not, type "none."
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Please select a session preference.
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Morning (8:20 am - 11:10 am)
Afternoon (12:30 PM - 3:20 PM)
No preference
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