I certify that all of the information on both sides of this application is true to the best of my knowledge. I understand I am responsible for calling the Hickory Public Schools Preschool Office (828-322-5860, ext. 1150) with any changes to information on this application (phone number, address, work status, income, etc.). I give my permission for the information on this application and any other documentation that I submit with this application to be released to the classroom staff, the Division of Child Development and Early Education, and others as necessary. I understand that knowingly providing inaccurate information will result in this application being rejected.