LC Schools 2020 Preschool Enrollment Survey
Complete this form for each child enrolling in the 2020-21 LC Preschool Program.
Email address *
Student Name *
Student Date of Birth *
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Parent/Guardian Name *
Address *
Phone Number *
School *
Which preschool option are you registering for? (Note: This choice will be for the first semester and cannot be changed during the first semester. The semester will not end until January. ) *
Does your child have a disability? If so please describe the disability challenges and supports the child requires. *
Does your child have speech or language deficits? *
Does your child have vision or hearing challenges? *
Does your child have physical challenges such as walking, running, jumping, fine motor hand movements, etc? *
Does your child have mental health challenges? *
Have you completed enrollment paperwork for your child yet and turned it into the school? *
List any siblings already enrolled in school. *
What is the best way to contact you? *
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