2022-23 Project Return

Please complete the following survey no later than Friday, February 25, 2022.
This information is extremely important in helping us plan for the upcoming academic school year and holding your child a seat for next year.

Student 1 Name *

First

Last

Present Grade- Student 1 *

If you have more than one child, please add...

Student 2 Name

First

Last

Present Grade- Student 2

Student 3 Name

First

Last

Present Grade- Student 3

Will your child be returning to Linwood Public Charter School for the 2022-23 school year?

Will your child be returning to Linwood Public Charter School for the 2022-23 school year? *

(If you select “No", a seat will NOT be held for your child in 2022-23 school year. If you change your mind and wish to have your child attend LPCS in the fall, you will need to reapply.)

If your child is not returning to the school, please check the appropriate reason: *

Other Reason *

Are you considering newly enrolling a sibling at Linwood Public Charter School?

Are you considering newly enrolling a sibling at Linwood Public Charter School? *

Student Grade *

(If Yes, please go to www.linwoodcharter.org to complete registration.)

Do you know another family that may be interested in enrolling their child(ren) at LPCS?

Do you know another family that may be interested in enrolling their child(ren) at LPCS? *

If YES, and the family does not mind, please list their name, address or phone number, and we will contact them.

Interested Parent/Guardian *

First

Last

Home Address

City

State

Zip Code

Phone Number *

Online Submission and E-Signature Agreement:

I certify that the information I have furnished on this form is true and complete. I release and agree to hold harmless any individual, company, business institution or government agency from all liability with regard to furnishing information to this organization. I agree to release and hold harmless this organization and those affiliated with it from liability with respect to receipt of such information.

By typing in your legal name below, you are signing this form electronically. You give your electronic signature the power to be the legal equivalent of your manual signature on this form. You further agree that your use of a keypad, mouse or other device to select an item, button, icon or similar act/action, or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature.

Parent/Guardian Signature *

Date *

Returning Students?

Online Submission and E-Signature Agreement:

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