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Little Leaf Registration Form 2022-2023, Ages: 3-5 years, Lenoir Nature Preserve
Please fill out this form in order to be considered for enrollment for the 2022-2023 school year.
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* Indicates required question
Child's Last Name
*
Your answer
Child's First Name
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Your answer
Child's Date of Birth
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MM
/
DD
/
YYYY
Child's age on September 1st, 2022? (Please note: Children must be a minimum of 2y 9mo old, by September 1st 2022, to be enrolled in a mixed-age class.)
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Your answer
Child's Sex
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male
female
Enrollment
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5 full days - $16,400 (9-2:30)
5 mornings - $8,800 (9-11:45)
Parent 1 (First name, Last name)
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Your answer
Parent 1 (Phone number)
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Your answer
Parent 1 (Email)
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Your answer
Parent 2 (First name, Last name)
Your answer
Parent 2 (Phone number)
Your answer
Parent 2 (Email)
Your answer
Address
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Your answer
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