Application for Lincoln Academy Prechool
6980 Pierce Street * Arvada, CO * 80003 * Phone 303-467-5363 * Fax 303-467-5367

Name of Student Sex Birthdate YTS*
       
Child must be 4 years old by October 1 to start level II preschool.
*YTS- Year your child is eligible to start preschool

Address City Zip Home Phone
       
Residing County

Father's Name Work Phone Mother's Name Work Phone
       
Neighborhood School Currently Attending Name of Person Submitting Application
   
How did you hear about Lincoln Academy?
 
 
This application must be REAFFIRMED IN PERSON the year your student is eligible to start preschool and every year thereafter until your child is offered an opening in the preschool program.. Applications are NOT REAFFIRMED will be REMOVED FROM THE LIST. Reminders to reaffirm WILL NOT BE given by the school.

(Initial Please) I am aware that Lincoln Academy has a separate application and wait list for the K-6 program. I am aware that
filling out this application will not put me on the wait list for Lincoln Academy’s K-6 program.


ONLY OFFICE PERSONNEL TO WRITE IN THIS AREA
Date of Application Time School Personnel Receiving Applications
     
Reaffirmed:           Initials                              Date                              Initials                              Date
Comments: