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Mothers Day Out at DC : Enrollment
Please fill out this form for one child. To enroll additional children, fill out the form again separately for each one.
UPDATE: WE CURRENTLY ONLY HAVE OPENINGS IN THE 3-4 YEAR OLD CLASS
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* Indicates required question
Student's name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's Age on September 1, 2022
*
Choose
3
4
1 - WAIT LIST
2 - WAIT LIST
Student's Gender
*
Choose
Male
Female
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