Lake Preschool - Lake Gunnison RE1J

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* PLEASE NOTE THAT YOUR CHILD WILL NEED TO HAVE TURNED 3 OR 4 BY AUGUST 1, 2020 AND BE POTTY- TRAINED BY THE FIRST DAY OF SCHOOL IN ORDER TO BE ELIGIBLE FOR THE 3 OR 4-YEAR-OLD PROGRAM. WE WILL ACCOMMODATE FOR SPECIAL OR MEDICAL SITUATIONS.

WE MUST HAVE A COPY OF YOUR CHILD'S BIRTH CERTIFICATE, A PHYSICAL EXAMINATION FORM COMPLETED BY YOUR CHILD'S DOCTOR, AND PARENT HANDBOOK READ AND SIGNED BY THE FIRST DAY OF SCHOOL.

Please feel free to contact us with any questions or concerns. You can reach us at (970)641-7770. We look forward to serving you and your family!
Sincerely,
Mrs. Kennedy- Director of Lake School
Ms. Sittner -Lake School Office Manager

Email *

Child's Last Name *

Child's First Name *

Child's Middle Name *

Child's Date of Birth *

YYYY

Mailing Address *

Physical Address if different from mailing address.

Phone Number(s) *

Email address

Child's Sex *

Female

Male

Ethnicity (Optional):

Check all that apply

American Indian

Alaska Native

Asian

Black

Native Hawaiian

Other Pacific Islander

White

Is this student Hispanic/Latino: *

Yes - A person of Cuban, Mexican, Puerto Rico, South or Central American, or other Spanish culture or origin, regardless of race.

With whom does student live? *

Both parents

Father

Mother

Guardian

Parent or Guardians' Name(s) *

If guardian please explain below:

Father/Guardian: Name *

Father/Guardian: Home address

Father/Guardian: Home Phone

Father/Guardian: Cell Phone

Father/Guardian: Email address

Father /Guardian: Employer

Father/ Guardian: Employer's Address *

Father/Guardian: Work Phone

Mother/Guardian: Name *

Mother/Guardian: Home address *

Mother/Guardian: Home Phone *

Mother/Guardian: Cell Phone

Mother/Guardian: Email address

Mother/Guardian: Employer

Mother/Guardian: Employer address

Mother/Guardian: Work Phone

List all other persons under age 21 living in your home

List for each person: Name and age

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