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Nursery Student Enrollment
Please fill out the form about your child so we know how we can best care for them.
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Child's Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Parents Name
*
Your answer
Email
Your answer
Phone number
*
Your answer
Who can pick up your child after service is over?
*
Your answer
Allergies (Sometimes we give the children snacks. Please let us know any allergies your child has.)
Your answer
Notes
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