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600 S. Main, PO Box 168
Holyrood, KS 67450
785-252-3695

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Lakeside Learning Center

2913 Avenue D     
Wilson, KS  67490
Phone: 785-658-2460
Fax: 785-658-2462
Director: Brian Smith

Lakeside Learning Center ENROLLMENT Packet


Please click on the following links and download/print each of the four forms to enroll in the Lakeside Learning Center. After you have filled the forms out you may either scan the forms and email them back to ttempleton@usd112.org OR you may mail them back to: The Lakeside Learning Center, 2913 Avenue D, Wilson, Kansas 67490. 
    If you have any questions, please call The Lakeside Learning Center at 785-658-2460 and we will be glad to answer any of your questions about these forms.


Lakeside Learning Center Forms

  • Payment Contract.pdf   5k - Aug 20, 2011 11:07 AM by Scott Mitchum (v2)
  • Diploma Completion Enrollment form.pdf   9k - Aug 3, 2011 8:36 AM by Kay Bailey (v1)
  • Health Records Information Waiver 4.pdf   9k - Aug 3, 2011 6:09 AM by Kay Bailey (v1)
  • Attendance Agreement.pdf   15k - Aug 3, 2011 6:08 AM by Kay Bailey (v1)
  • 2012_At-Risk_Application.pdf   182k - Aug 3, 2011 6:08 AM by Kay Bailey (v1)
Showing 5 files from page Lakeside Learning Center Forms.