Waitlist - Plan C

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Waitlist - Plan C

Please complete one form per child.

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* Indicates required question

Child's Last Name: *

Your answer

Child's First Name: *

Your answer

School student attends *

Choose

Atkinson

Bruce Drysdale

Clear Creek

Dana

Edneyville

Etowah

Fletcher

Glenn Marlow

Hendersonville

Hillandale

Mills River

Sugarloaf

Upward

Does the student attend PSAM / PSPM this school year? *

Choose

Yes

No

My student receives vouchers. *

Yes

No

Required

Parent's Last Name: *

Your answer

Parent's First Name: *

Your answer

Parent's Email: *

Your answer

Parent's Phone Number: *

Your answer

Select the site you are requesting: *

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Fletcher

Hendersonville

Hillandale

Mills River

Sugarloaf

I am an essential worker. I work at *

Your answer

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