State-Funded LEAPP Interest Form/Lista de Interes para el Pograma de Preescolar del Estado

We are excited to offer a state-funded preschool program for children ages 3 and up! The LEAPP class runs Monday through Friday for 3 hours a day. Choose between the following time slots:

Morning Session: 7:45 AM – 10:45 AM

Afternoon Session: 11:30 AM – 2:30 PM

Eligibility Requirements:

Children must be 3 years old by December 1st

* Children must be fully potty trained.

Wrap-around childcare is available for an additional weekly fee. Don’t miss out on this fantastic opportunity—submit your interest form today!

Sign in to Google to save your progress. Learn more
Email *
Child's Last Name/Apellido del Niño(a) *
Child's First Name/Nombre del Niño(a) *
Child's Date of Birth/Fecha de Nacimiento *
MM
/
DD
/
YYYY
Family Size/Número de Personas en el Hogar *
Gross Monthly Income (military-without BAH)/Ingresos Mensuales *
Siblings living in household (under 18)/Hermanos que viven en el hogar *
Home Address/Dirección *
Home Language/Idioma en el Hogar *
Parent/Guardian or Person Financially Responsible-Full Name (1)/Nombre de la Persona Responsable de la Economía en el Hogar (1) *
Contact Phone Number (1)/Número de Teléfono (1) *
Contact e-mail (1)/Correo Electrónico (1) *
Parent/Guardian or Person Financially Responsible-Full Name (2)/Nombre de la Persona Responsable de la Economía en el Hogar (2)
Contact Phone Number (2)/Número de Teléfono (2)
Contact e-mail (2)/Correo Electrónico (2)
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lakeside Union School District.

Does this form look suspicious? Report