PreK Round-up Preregistration Form
2021-22 Enrollment form for USD 382 families
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Student First Name *
Student Last Name *
Date of birth *
MM
/
DD
/
YYYY
Gender *
Enrolling grade for 2021 - 2022 school year *
Street Address *
City *
Zip *
Parent/Guardian Name (first and last) *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
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