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Rush City Early Childhood Mailing List
Please fill out this form to be added to our mailing list.
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* Indicates required question
Parent's Name (Last, First)
*
Your answer
Child's Name (Last, First, Middle)
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Additional Child's Name (Last, First)
Your answer
Additional Child's Birthdate
MM
/
DD
/
YYYY
Additional Child(ren)
*Please list name and birthdate
Your answer
Have you moved to the district recently?
*
Yes
No
Mailing Address
*
Your answer
Email Address
*
Your answer
Phone Number
Your answer
What Early Childhood Programs are you interested in?
*
Preschool
Weekly ECFE Classes
One-time ECFE classes
Required
If you are interested in ECFE classes, what times would be of interest to you?
Morning classes
Afternoon classes
Evening classes
Weekend events
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