Kindergarten Form 2020-2021
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Student's Last Name *
Student's Middle Name
Student's First Name *
Student's Birth Date *
MM
/
DD
/
YYYY
Student's Gender *
Parent 1 /Guardian Name *
Relationship to child *
Parent 1 / Guardian Address ( Street, City, State, Zip ) *
Parent 1 / Guardian Email Address
Parent 1 / Guardian Phone # *
Parent 1 / Guardian Alternate Phone #
Parent 2 / Guardian Name
Relationship to child
Clear selection
Parent 2 / Guardian Address ( Street, City, State, Zip)
Only if second household
Parent 2 / Guardian Email Address
Parent 2 / Guardian Phone #
Parent 2 / Guardian Alternate Phone #
Please select your intention from the following *
Submit
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