Lexington Three VIP Registration Form
You will need to complete a separate application for each child that will need to be enrolled in the Virtual Instruction Program.  Application is due by August 3rd in order to properly schedule each student.

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First Name of Child (Legal Name)/Nombre Del niño (nombre legal)​ *
Last Name of Child (Legal Name)/Apellido del niño (nombre legal) ​ *
First Name of Legal Parent/Guardian/ Nombre del padre / tutor legal​ *
Last Name of Legal Parent/Guardian/Apellido legal padre / tutor​ *
Parent/Guardian CELL Phone Number/del padre / tutor del número de células deteléfono ​ *
Parent/Guardian CELL Phone Number #2/del padre / tutor CELULAR número # 2
Parent/Guardian Email Address​ *
Which school is this child scheduled to attend during the 2020-2021 school year?/¿Quéescuela este hijo asista durante el año escolar 2020-2021?​ *
Which grade level will this child be in for the 2020-2021 school year?/¿Qué gradoescolar tendrá este niño? estar en el año escolar 2020-2021?​ *
Does you child receive special special services (IEP, 504, ESOL) through Lexington Three? *
Do you have reliable WiFi access available throughout the entire semester? *
Typing your FULL NAME in the box below indicates you understand and agree to the requirements for the Lexington Three Virtual Instruction Program for 2020-21.   *
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