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2023-2024 Extended Day Pre-Registration Form-K4 Only
Remember to submit the $40 non refundable registration fee to secure your student's spot. Space is limited. Program is currently full. When you pay the registration fee, you will be placed on a waiting list.
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Email
*
Your email
Student Information
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Middle Name
*
Your answer
Grade For 2023-2024
*
Choose
K4
Student Birthday
*
MM
/
DD
/
YYYY
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
My child is allergic to Bee Stings?
*
Yes
No
List allergies and health concerns:
*
Your answer
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