Registration Information for Preschool/PreK Program for 2019-2020
To be eligible for the four-year-old Pre-K program, your child must turn four years old on or before January 1, 2020.
Parents interested in the three-year-old Preschool program, should contact Jill Pilgrim (contact information below) regarding enrollment through our lottery process.
Program runs Monday through Friday: 8:50 p.m. - 2:50 p.m.
Forms Required to Register for the Preschool/PreK Program
(forms can also be mailed to you upon request (call Jill Pilgrim at 860-434-0487 x3602) OR
picked up at the Central Office (49 Lyme Street in Old Lyme)
Guide to the Student Registration Process
Pupil Registration Form / Emergency Contact Information Form / Medical/Insurance Information Form
Residency Affidavit for New Enrollments (not required for non-resident enrollments)
Residency Affidavit for Students Without a Permanent Address
Questionnaire for McKinney-Vento Homeless Act (for determining residency)
Home Language Survey
Potassium Iodide (KI) Student Medication Authorization Form and related information
Millstone Power Station Readiness Plan (informational only)
Information Sources in the Lyme-Old Lyme Public Schools (informational only)
Note: when registering a new student, a copy of the student's birth certificate will be made, and evidence that the student's immunizations are up to date is required. New registrants must provide documentation on the appropriate State of Connecticut Health Assessment Record form of a physical exam that has taken place within 1 year of starting school (see links to forms below).
Medical Forms Required for Preschool/PreK Registration
Letter to Parents/Guardians of Incoming Preschool Students from School Nurse Coordinator
Medical Requirements for all Students
State of CT Early Childhood Health Assessment Record (for Pre-K physicals)
Authorization for the Administration of Medication by School Personnel (must be signed by the prescribing doctor)
Emergency Epinephrine Administration to Students Who May Be Exhibiting Signs of Severe Allergic Reaction
Additional Forms for Non-Residents of Lyme or Old Lyme
Policy 2420 Enrollment of Nonresident Students (Please complete Letter of Understand and Agreement)
Nonresident Student Contract (note: tuition is due the first of every month - ten equal payments September - June)
Does Your Child Have Health Insurance?
FORMS SHOULD BE RETURNED TO THE SPECIAL SERVICES DEPARTMENT
Via email to Jill Pilgrim, firstname.lastname@example.org
- OR -
Special Services Department
Lyme-Old Lyme Schools
49 Lyme Street
Old Lyme, CT 06371
- OR -
in person to Jill Pilgrim between the hours of 8:00 a.m. to 4:00 p.m. at address above.
***** DEADLINE FOR REGISTRATION IS MARCH 15, 2019 *****
|Many of the forms linked to this page are Adobe PDF files.
You can download free software which reads them from Adobe's website: Get Adobe Reader