Hebron Public Schools Hebron Early Childhood Center At Gilead Hill Preschool Program Lottery Application 2018-2019 Lottery Enrollment Deadline: Please return completed forms to the Gilead Hill School Central Office by February 28, 2018 Student Name: M/F:
Date: Age:
Date of Birth:
(must be 3 or 4 by December 31, 2018)
Name of Parent(s)/Guardian(s): Address:
Apt #:
Town:
Primary Phone #:
Alternate Phone #:
Zip:
Email Address: Please number your preferences below. (1=1st choice, 2=2nd choice, 3=3rd choice) Half Day Program:
(8:30 a.m. – 3:10 p.m., M/T/W/Th/F) Please initial the following statements
I understand that my child must reside in Hebron to be eligible to participate in the lottery and enroll in the preschool program. I understand parents are responsible for transportation. I understand that if I accept a placement in a full day classroom, I am responsible for paying tuition.
Based upon the information provided regarding the preschool program, I am interested in having my child entered into Hebron’s preschool lottery for the 2018-2019 school year. I understand that if my child is selected for participation, registration forms, including proof of residency and records of required immunizations will need to be completed and submitted to the school.
Parent/Guardian Signature
Date
Public Lottery Drawing: March 8, 2018 at 8:30 a.m. at Gilead Hill School. Applicants do not need to be in attendance to be eligible for the lottery. All applicants will be notified of their acceptance or waitlist status by phone.