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 October 1st

* Children must be fully potty trained.

Wrap-around childcare (6:30 AM-6:00 PM) is available for a $200.00 weekly fee. Don’t miss out on this fantastic opportunity—submit your interest form today!

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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)
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