2016-17 Current School Year Wait-List Registration Form
2016-2017 Current School Year Wait-List Registration Form Instruction:
Applications are accepted after the lottery drawing, names will be placed on the wait list in the order they are received by the school.


Registration for the 2016-2017 Wait List Instructions:

1. Complete form only for new students applying for the Wait-List (Not for current students already attending PCCS).
2. Parents/Guardian must electronically complete/submit or come to the office for a paper form(forms can be mailed upon request).
3. Contact Janette Siegel @ 847-548-1938 or via email jsiegel@pccharterschool.org once you have submitted your form to confirm it was received.
5. If your child is called for an open seat during the current school year and you would like to accepted you are required to send in 2 Proofs of Residency(Utility Bill, Rental Agreement, Tax Bill) and a certified copy of your child's Birth Certificate (note that your child must be 5 years of age on or before Sept 1st in order to enter Kindergarten) within 3 days of accepting the open seat.

Admission is on a non-discriminatory basis and open to all students regardless of race, ethnicity, gender, socioeconomic status, sexual orientation, religious preference or disability. We are a free public school that provides a personalized Kindergarten through 8th Grade education for students that reside in the Woodland (50) and Fremont (79) Districts.


The wait-list is maintained on our website. Please refer to the 2016-2017 wait-list when checking for updates.

Applicant's Last Name
Your answer
Applicant's First Name
Your answer
Applicant's Middle Name
Your answer
Date of Birth
Your answer
Schools attended to date
Your answer
Do you currently have a child/children attending Prairie Crossing Charter School
Your child is a resident of:
(Siblings and residents of District #50 and #79 have priority over Out of District registrations. Out of District tuition will be charged if an offer is made and accepted.)
We heard about Prairie Crossing Charter School from:
Siblings applying for the Wait-List 2016-2017
A separate registration form is needed for each student.(Please list name and grade level entering)
Your answer
Name of Father/ Guardian
Your answer
Address
Street, City and Zip Code
Your answer
Home Phone
(with area code)
Your answer
Cell Phone
(with area code)
Your answer
Email Address
Your answer
Name of Mother/ Guardian
Your answer
Address
Street, City and Zip Code
Your answer
Home Phone
(with area code)
Your answer
Cell Phone
(with area code)
Your answer
Email Address
Your answer
Please mark what grade your child is currently in :
By checking this box I confirm and agree that all of the information listed on this document is true and accurate. My child and I are residents of the district noted as of the date of the lottery, March 1, 2016. I will notify Prairie Crossing Charter School immediately if my child or I move from the school district noted on the registration
Required
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