The Verrazano Foundation

Combating Discrimination, Creating Opportunity!

 

 

Letter of Intention to Enroll

 

To whom it may concern:

 

I am interested in the possibility of enrolling my child in the proposed John W. Lavelle Preparatory Charter School. My child will be entering the 6th grade in September 2009. I understand that completing this form does not guarantee my child admission to the School.

 

Child’s Name: ______________________________________________

 

Child’s Date of Birth: ________________________________________

 

Name of Parent/Guardian: ___________________________________

 

Address (Number and Street): _________________________________

 

City: _______________________________________________________

 

Zip Code: ___________________________________________________

 

Phone Number: ______________________________________________

 

Email Address: _______________________________________________

 

School District: ______________________________________________

 

Signature of Parent/Guardian: __________________________________

 

Date: ________________________

 

 

Please mail the completed “Intention to Enroll” to The Verrazano Foundation, 777 Seaview Avenue, Staten Island, NY 10305.

777 Seaview Avenue, Staten Island, New York 10305

(phone) 718-667-2832 · (fax) 718-667-2344  · (email) information@verrazanofoundation.org

www.verrazanofoundation.org