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Preschool Registration 2020-2021
Please complete the following information so we can add your child to our enrollment list.
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Email
*
Your email
Student First Name
*
Your answer
Student Middle Name
Your answer
Student Last Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Social Security Number
*
Your answer
Gender
*
Male
Female
Physical Address
*
Your answer
Mailing Address (if different from physical address)
Your answer
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