PRESCHOOL APPLICATION
Email address *
Child's Last Name *
Your answer
Child's First Name and Middle Initial *
Your answer
Child's Birthdate *
Your answer
Child's Gender *
Potty Trained? *
Number and ages of siblings *
Your answer
Birth Order (Eldest, Middle, Youngest, or Only) *
Your answer
Known Allergies *
Your answer
Favorite Toys
Your answer
Any Fears?
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Anything else you would like us to know
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Last Name of Parent (Primary Guardian to drop off and pick up your child from Preschool) *
Your answer
First Name of Parent *
Your answer
Street Address *
Your answer
City, State, Zip Code *
Your answer
Where did you hear about LCHS Preschool?
Your answer
We want to provide the safest environment for your child while he/she is attending LCHS Preschool. We request that you provide us with a FULL AND COMPLETE LIST of adults who are allowed to drop off and pick up your child. Fill in the information below for each individual adult that you trust with your child. Even if they may only be picking up or dropping off ONCE, we need to verify this person per DCFS codes. *Please inform each person on this list that they may be asked for identity verification upon their visit. *Please note that MINORS are not allowed to drop off and pick up your child on their own.
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LAST NAME *
Your answer
FIRST NAME AND MIDDLE INITIAL *
Your answer
STREET ADDRESS *
Your answer
CITY, STATE, ZIP CODE *
Your answer
PHONE NUMBER *
Your answer
Last Name
Your answer
First Name and Middle Initial
Your answer
Street Address
Your answer
City, State, Zip Code
Your answer
Phone Number
Your answer
Last Name
Your answer
First Name and Middle Initial
Your answer
Street Address
Your answer
City, State, Zip Code
Your answer
Phone Number
Your answer
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