State-Funded LEAPP-Lindo Park Interest Form
Interest form for the state-funded LEAPP is preschool ONLY. There is no wrap-around care available in the state-funded preschool class. The state-funded class is Monday through Friday,  3-hours only. The class time is either 8:00-11:00 OR 11:45-2:45. Students that are 4-year-olds are enrolled first. Students must be fully potty trained to attend.
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Email *
Child's Last Name *
Child's First Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Family Size *
Gross Monthly Income (military-without BAH) *
Siblings living in household (under 18) *
Home Address *
Home Language *
Parent/Guardian or Person Financially Responsible-Full Name (1) *
Contact Phone Number (1) *
Contact e-mail (1) *
Parent/Guardian or Person Financially Responsible-Full Name (2)
Contact Phone Number (2)
Contact e-mail (2)
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