2023 Preschool Lottery Form

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Please fill out the Preschool Community Peer Lottery Form to enroll your child in our Preschool Lottery for the 2023-2024 school year. Applications must be received by March 8, 2023. Community peers must be 3 years old by August 31, 2023.

Thank you!

Email *

Child's First Name *

Child's Last Name *

Child's Date of Birth (month/day/year) *

YYYY

Parent's First Name *

Parent's Last Name *

Address *

Home Telephone *

Work Telephone *

Cell Telephone *

Email address *

My child is currently enrolled as a Community Peer in the Integrated Preschool. Please note that if your child is currently enrolled in the AM session, they will be moved to the PM session if they are at least 4 years old or will turn 4 by December 31, 2023. *

Yes

If you answered yes, do you plan on sending your child this coming year (2023-2024)?

Yes

Clear selection

My child will be 4 by August 31, 2023 and I would like them to be considered for the limited number of Full Day Community Peer spots. *

Yes

Send me a copy of my responses.

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