If your student attends a school in the School District of Lancaster, please complete the application below. If you have any questions or concerns about the requested information, please contact Conestoga Eye at 717-541-9700 ext. 106. You can also download the application form here and return it to us.
All the fields below must be completed for the from to send. Please complete the below questions completely.
If your family meets or is under the listed annual incomes for your household size, your child is eligible for KinderSee. If you family exceeds this income, more information is needed. In both cases, a form will be sent to you to verify your income.
Household Size = Annual Income
1 = $23,760
2 = $32,040
3 = $40,320
4 = $48,600
5 = $56,880
6 = $65,160
7 = $73,460
8 = $81,780
For each additional person add: $8,040
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