Parent/Guardian Email Address (if entering multiple emails, please separate them with a semi-colon and a space) *
Your answer
Home Address *
Your answer
Kindergartener's Last Name *
Your answer
Kindergartener's First Name *
Your answer
Kindergartener's Date of Birth *
MM
/
DD
/
YYYY
Name of Preschool (if attended) *
Your answer
Are there any concerns that you have for your child at school that we should know about? Please include medical issues/background, family situation, peer relationships, fears, etc.
Your answer
Please consider the following information when placing my child in a kindergarten class:
Your answer
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