1st Grade Wait List Registration Form 2017-2018
Email address *
Registration for the 2017-2018 Wait List Instructions:
1st Grade Registration 2017-2018 Lottery Instructions:

1. Complete form only for new students applying for the Wait-List (Not for current students already attending PCCS).
2. Parents/Guardian must electronically complete/submit or come to the office for a paper form(forms can be mailed upon request).
3. Contact Janette Siegel @ 847-548-1938 or via email jsiegel@pccharterschool.org once you have submitted your form to confirm it was received.
5. If your child is called for an open seat during the current school year and you would like to accepted you are required to send in 2 Proofs of Residency(Utility Bill, Rental Agreement, Tax Bill) and a certified copy of your child's Birth Certificate (note that your child must be 5 years of age on or before Sept 1st in order to enter Kindergarten) within 3 days of accepting the open seat.

Admission is on a non-discriminatory basis and open to all students regardless of race, ethnicity, gender, socioeconomic status, sexual orientation, religious preference or disability. We are a free public school that provides a personalized Kindergarten through 8th Grade education for students that reside in the Woodland (50) and Fremont (79) Districts.

The wait-list is maintained on our website. Please refer to the 2017-2018 wait-list when checking for updates.

Applicant's Last Name *
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Applicant's First Name *
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Applicant's Middle Name
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Applicant's Date of Birth *
Your answer
Applicant's District of Residence *
I am confirming that for the 2017-2018 school year my child will be entering: *
Do you currently have a child/children attending Prairie Crossing Charter School? *
Do you have other children applying for the Wait List? Please fill out a separate form for each child applying. *
If you have other children applying for the Wait List, please provide their name and grade level for the 2017-2018 school year *
Your answer
Father's Name *
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Father's Address (street, city and zip code) *
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Father's Cell Phone *
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Father's Home Phone *
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Father's Email Address *
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Mother's Name *
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Mother's Address *
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Mother's Cell Phone *
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Mother's Home Phone *
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Mother's Email Address *
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Where did you hear about Prairie Crossing Charter School?
By checking this box, I confirm and agree that all of the information provided on this document is true and accurate. *
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