West Islip HS Little Lions Preschool Registration 2022-23
Please note that Little Lions Preschool is separate from the District Pre-K program.  For questions, please contact Director of Math, Business Ed., and Family & Consumer Sciences:
James Grover - j.grover@wi.k12.ny.us
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Child's Last Name *
Child's First Name *
Child's Gender *
Child's Date of Birth *
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/
DD
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YYYY
Home Address *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Email Address(es) *
Home Phone Number *
Are there any medical issues that would affect your child's participation in activities? (If  yes, please explain) *
Does your child have any allergies? (If yes, please explain) *
Does your child take any medications regularly? (If yes, please explain) *
Emergency Contact (Name, Relationship, phone #) *
Other person(s) authorized to take child from preschool. (Name, relationship, phone #) *
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