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Registration Form 2024-2025
Student Registration Form
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Student Name First
*
Your answer
Student Name Last
*
Your answer
Middle Initial
Your answer
Grade Entering
*
Your answer
Complete Only for Preschool
(Preschool students must be able to use the bathroom unassisted & be 3 years old by Dec 1st)
All sessions are 5 days a week.
Morning Half Day PreK (8:45am-11:30am)
Afternoon Half Day PreK (12:00pm-2:45pm)
Full Day PreK (8:45am-2:45pm)
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Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip code
*
Your answer
Sex
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
School District of home residence
*
Your answer
Last School Attended
Your answer
Race
Black (non Hispanic)
Asian/Pacific
Hispanic
White
Other
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