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Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian First Name
Parent/Guardian Last Name
Student First Name
Student Last Name
Address 1
City
State
Zip
Email
Telephone Number
Current Grade Level of Student
Where does your child currently attend school?
Are you a Lyme or Old Lyme resident?
Yes
No
Are you moving to Lyme or Old Lyme?
Yes
No
If yes, please indicate Lyme or Old Lyme address if known
How did you hear about the Lyme-Old Lyme Schools?
(can choose more than one selection)
Newspaper
Our website
Internet (please specify what site below)
Word of mouth
A Lyme-Old Lyme community member or staff member
Other (please specify below)
Which website?
Other (please specify)
Please provide an email address where we can send a link to your current form.
Email Address :