APPLICATION FORM FOR FOUR YEAR OLD PRESCHOOL PROGRAM 2021-2022
Please return this form: By Mail or Berlin Community School
Hand Deliver to: Child Study Team Office
215 S. Franklin Avenue
Berlin, NJ 08009
Please return by: 2/22/2021
Parent/Guardian Name _________________________________________________
Gender ____ Male ____ Female Birth Date___________________
I am/We are interested in enrolling my/our child in the Berlin Borough School District preschool program for the 2021-2022 school year. I/We understand that this will be a half day program, and it will be in session 5 days a week with the exception of one day per month closing for trainings and workshops. There will be NO COST for the program and NO TRANSPORTATION will be provided. Participants will be chosen by lottery. Your child must be age 4 by October 1, 2021.
*** Parents - If you are so lucky as to have twins or siblings who will be applying together, please kindly let us know and/or staple their acceptance forms together, as we will consider them as a unit.***
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Parent/Guardian Signature Date Parent/Guardian Signature
* Participants in this program will be determined by a lottery drawing in February 2021. This is NOT the CER preschool program. Please see the preschool program letter for more details.