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Search for:
HOME
PROGRAMS
Preschool- Appleseeds
Preschool- Dragonflies
Pre-K Sunshines
K/Grade 1 & 2
Art Studio
Extended Day
Summer Program
ABOUT
History/Philosophy
Environments/Outside
Additional Offerings
Contact Us
ADMISSIONS
CALENDAR
EMPLOYMENT
BLOG
HOME
PROGRAMS
Preschool- Appleseeds
Preschool- Dragonflies
Pre-K Sunshines
K/Grade 1 & 2
Art Studio
Extended Day
Summer Program
ABOUT
History/Philosophy
Environments/Outside
Additional Offerings
Contact Us
ADMISSIONS
CALENDAR
EMPLOYMENT
BLOG
Wait List
My School
2022-01-25T12:34:28-05:00
My School Wait List Application
Office Use Only:
Date app received _____________________
Deposit received_____________________
Child's Start Date_____________________
Child's End Date_____________________
CHILD INFORMATION
Full Name
*
Gender
*
Female
Male
DOB
*
MM slash DD slash YYYY
Interested in:
*
Preschool
Pre-K
Kindergarten & Grades
Summer Program
Desired Start Date
*
Age at Start Date
*
Preferred Schedule- Specify T/TH, M/W/F or 5 days & hours
*
Please give as much detail as possible. Which days work best? Are you looking for just the main program hours or do you need AM and/or PM ext day hours? How flexible is your schedule?
Current School (if any)
PARENT/GUARDIAN INFORMATION
Full Name
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home Phone
*
Cell
Work
Email
*
2ND PARENT/GUARDIAN
Click box to show 2nd Parent/Gaurdian form
Full Name
*
Address
*
Same address as Parent/Guardian above
Different address
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Home Phone
*
Cell
Work
Email
*
Wait List Fee (non-refundable)
*
Select one. Pay by check made out to "My School, LLC" mailed to 118 Locust Street, Dover, NH 03820.
Pay online through PayPal (include processing fee). My School will email you link after receiving receiving/reviewing the application.
I am mailing a CHECK for $40
Email me the link to pay online ($40 plus processing fee)
By signing below, I indicate my understanding of the following:
**By submitting the fee and this completed form, I have applied for a space for my child in at My School.
**while every attempt will be made accommodate my preferred schedule, my child’s schedule may differ from the one requested with this application and I will be offered a schedule that takes into account my request and the space available in the program.
Signature of Parent/Guardian
*
Sign inside the box below.
Date
*
Select Today's Date
MM slash DD slash YYYY
My School is committed to a policy of equal educational opportunity and to the program of affirmative action in order to fulfill that policy. My School shall consider all applicants and their families without regard to unlawful criteria including race, color, religion, natural origin, sex, sexual orientation, disability, age, or status as a disabled or Vietnam-era Veteran, as these items are defined under applicable law.
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