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Application of Enrollment
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* Indicates required question
Your best e-mail address:
*
Your answer
The first name of the child:
*
Your answer
The middle name of the child:
Your answer
The last name of the child:
*
Your answer
The child's nickname (if applicable):
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Sex:
*
Male
Female
Other:
Mailing Address:
*
Your answer
When would you like your child to begin attending our preschool?
Summer 2025 (mid-June)
Fall 2025 (end of August)
Spring 2026 (beginning of January; very few slots available)
Clear selection
Part Day / Full Day / Extended Day?
*
Full Day - 8am to 4pm
Half Day - 8am to 12pm
Extended Day - 8am to 5:30pm
Annual Household Income
*
Your answer
What language(s) do you speak in your household?
Your answer
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