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Interest Form - Lakeland Microschool for Students who are Blind or Visually Impaired
Please submit this form to indicate your potential interest in enrolling your child for the 2025-2026 school year. Please submit one form per child. (Approximate time to complete form: 10 minutes)
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Parent's Name
*
Your answer
Parent's Email Address
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Your answer
Parent's Phone Number
*
Your answer
Address
*
Your answer
Student's Name
*
Your answer
Student's Date of Birth
*
Your answer
Student's Current Grade Level (for the 2024-2025 school year)
*
Your answer
Optional: Please let us know any additional information you would like us to consider when designing our microschool (e.g., start/end times, desired curriculum, student special needs)
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