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2021-2022 Universal Pre-K Registration Questionnaire
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* Indicates required question
Child First Name/Primer nombre del estudiante
*
Your answer
Child Last Name/Apellido del estudiante
*
Your answer
Child's Date of Birth/Fecha de nacimiento del estudiante
*
MM
/
DD
/
YYYY
Parent/Guardian First Name/Nombre de padre/madre/tutor
*
Your answer
Parent/Guardian Last Name/Apellido de padre/madre/tutor
*
Your answer
Contact Email Address/Correo electrónico
*
Your answer
Contact Number/número de contacto
*
Your answer
Street Address (Please include apartment number if applicable)/Domicilio (por favor incluya el número de apartamento si corresponde)
*
Your answer
City, State, Zip/Ciudad, Estado, Código Postal
*
Your answer
Preferred Session/preferencia de sesión
AM
PM
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