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Format: (000) 000-0000.
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- Address same as 1st Parent
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Format: (000) 000-0000.
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- Have you ever used The Learning Lamp services?
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- I claim $0 Income on my tax return.*
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- Date of Birth*
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- Was this child a Pre-K student in PA in the 2025-26 school year?*
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- Does this student require or qualify for any IEP assistance? (This is for state reporting purposes only)*
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- Have you applied for any other tuition assistance?*
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- Gender
- Race (Optional)
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- Date of Birth
- Is your child at least 5 years of age?
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- Was this child a Pre-K student in PA in the 2025-26 school year?
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- Does this student require or qualify for any IEP assistance? (This is for state reporting purposes only)
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- Have you applied for any other tuition assistance?
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- Gender
- Race (Optional)
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- Date of Birth
- Is your child at least 5 years of age?
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- Was this child a Pre-K student in PA in the 2025-26 school year?
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- Does this student require or qualify for any IEP assistance? (This is for state reporting purposes only)
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- Have you applied for any other tuition assistance?
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- Gender
- Race (Optional)
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- Should be Empty: