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Country Classroom Interest Application
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* Indicates required question
Child's Information
Child's First Name
*
Your answer
Child's Last Name
Your answer
Child's Preferred Name
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Child's Preferred Pronouns
She/her
He/him
They/them
Other:
Clear selection
Interested in entering grade:
*
Summer camp
Preschool, half day
Preschool, full day
Kindergarten, part time
Kindergarten, full time
1st
2nd
3rd
4th
5th
6th
7th
8th
Other:
Interested in starting in which school year
*
Summer 2022
Fall 2022
Spring 2023
Summer 2023
Fall 2023
Fall 2024
Other:
What school does your child currently attend (if applicable)?
Your answer
How did you hear about us?
Friend
Community Event
Facebook
Google Search
Media (newspaper, etc.)
Other:
Have you already been in touch with the staff at the school, or is this your first time contacting us?
Yes, been in touch.
No, first time contacting.
Clear selection
Any questions or things you would like us to know concerning your child's enrolment?
Your answer
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