Preschool Application Form
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Father/Legal Guardian's First and Last Name *
Preferred Phone for First Parent/Guardian *
Preferred Phone Contact *
Required
Mother/Legal Guardian's First and Last Name *
Preferred Phone for Second Parent/Guardian *
Preferred Phone Contact *
Required
Address: Street, City, Zip Code *
Family's Preferred Email Address *
Child's First and Last Name and Child's Preferred Name *
Example James Smith; Jimmy
Child's Birthdate (mm/dd/yyyy) *
What Class is your family interested in for your child? *
Is there another child you are hoping to enroll? If so, list name, birthdate, and class below.
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