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2021/22 Manitou Interest Form
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* Indicates required question
Parent 1 Name:
*
Your answer
Parent 1 Email
*
Your answer
Parent 2 Name
Your answer
Parent 2 Email
Your answer
Preferred Phone Number
*
Your answer
Mailing Address
*
Your answer
Child 1 Name:
*
Your answer
Child 1 Date of Birth:
*
MM
/
DD
/
YYYY
My child would be enrolling in:
*
Choose
Stepping Stones
Bridge Class
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Child 2 Name:
Your answer
Child 2 Date of Birth
MM
/
DD
/
YYYY
My child would be enrolling in:
Choose
Stepping Stones
Bridge Class
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Name of current school (If Applicable)
*
Your answer
How did you hear about us?
*
Your answer
I am interested in applying for:
*
Fall 2021
Fall 2022
Not Sure
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