Pre-Registration Lottery for 26-27 School Year

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Our registration process looks a little different this year. This year, we will enter all new students into a lottery. Please fill out the form below to enter your student into the pre-registration lottery for the upcoming school year. As we have space in our classrooms, you will be sent further registration documents. Once you are sent the registration documents, you will have 48 hours to complete and submit all of them, and you will be invoiced the registration fee. If we do not receive your documents in the allotted time, we will move on to the next person on the list. We will contact you as soon as we have an opening!

Student Name *

Student's Birthdate *

YYYY

Parent Name *

Parent email *

Parent phone number *

What class are your registering for? *

One year Old class (Green Group)

Two Year Old Class (Orange Group)

Three Year Old Class (Red Group)

Four Year Old Class

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Has your student been a part of our program in the past *

Yes

Do you have a family member in our program currently? *

Yes

What is the name of the church that your family currently attends? *

Mount Lebanon Baptist Church

Washington Baptist Church

Fairview Baptist Church

Haven Ridge

We do not have a church home

Other:

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