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St. Richard's Episcopal School Registration From
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* Indicates required question
Email
*
Your email
Child's Name
*
First and last name
Your answer
Child's Age by Sept. 1
*
age
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Child's Gender identity
*
Female
Male
Other:
Which class are you interested in?
*
2 Day Twos (1 Spot Left)
3 Day Twos (1 Spot Left)
5 Day Twos (1 Spot Left)
2 Day Threes
3 Day Threes
5 Day Threes (1 Spot Left)
4 Day PreK
5 Day PreK
Kindergarten
Required
Child lives with:
*
One Parent
Both Parents
Other:
Guardian's Name
*
First and last name
Your answer
Address
*
street city zip
Your answer
Email
*
Your answer
Phone number
*
Your answer
Guardian's Name
*
First and last name
Your answer
Address
*
street city zip
Your answer
Email
*
Your answer
Phone number
*
Your answer
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