2023-24 PreK Round-up Student Form

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2023 - 2024 Registration Form

* Indicates required question

Student First Name *

Your answer

Student Last Name *

Your answer

Date of birth *

MM

/

DD

/

YYYY

Gender *

Female

Male

Enrolling grade for 2023 - 2024 school year *

PK3

PK4

Street/Mailing Address *

Your answer

City *

Your answer

Zip *

Your answer

Parent/Guardian Name (first and last) *

Your answer

Parent/Guardian Phone Number *

Your answer

Parent/Guardian Email Address *

Your answer

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