Impact Public Schools - Waitlist Application Form - SY19-20
If you have any question about this waitlist application, please call (206) 712 - 7640. You will be informed of your student's waitlist number upon completion of this form.
Email address *
Students Last Name *
Your answer
Student's First Name *
Your answer
Gender *
Student's date of birth *
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Grade level for Waitlist (2019 - 2020) *
Student's street address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Does your child receive free and reduced lunch? *
Parent/Guardian #1: First Name *
Your answer
Does you already have a student that attends Impact Public Schools? *
If yes, what is that student's name?
Your answer
Parent/Guardian #1: Last Name *
Your answer
Parent/Guardian #1: Phone Number *
Your answer
Parent/Guardian #1: Primary Spoken Language
Does the child live with this parent/guardian?
Parent/Guardian #2: First Name
Your answer
Parent/Guardian #2: Last Name
Your answer
Parent/Guardian #2: Phone number
Your answer
Parent/Guardian #2: Primary Spoken Language
Does the child live with this parent/guardian?
Do you have another child that has applied to Impact Public Schools?
How many?
Sibling's First Name
Your answer
Sibling's Last Name
Your answer
Siblings Grade (2019 - 2020)
How did you hear about Impact Public Schools?
Your answer
By typing my name in the box below, I acknowledge that all information provided is correct. In addition, I understand that admission to Impact Public Schools is on a space-available basis and this application is for the waitlist at Puget Sound Elementary. The waitlist is filled in the order applications are received and as spaces become available. All families will be notified of their waitlist number following the submission of this form. *
Your answer
Date
MM
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DD
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YYYY
Thank you for submitting a waitlist application to Impact Public Schools for the 2019 - 2020 school year!
A copy of your responses will be emailed to the address you provided.
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