2021-2022 TBWP Registration Form
2021-2022 School Year
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Child must be class age by September 1st to be placed in the appropriate class. Please Indicate the class you are registering for: *
Child's Full Name *
What we will call child
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Age *
Gender *
Address *
City *
Zip Code *
Home phone number *
Email Address *
Child's Allergies / anything special we need to know
Siblings' names and ages
Name of Church Home
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