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2024 Everyday Pre-K M-F Fall Enrollment
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Email
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Student Name:
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Age (Age Today)
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Birth Date:
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Gender:
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Students Address:
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Mother/Guardian Name
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Mother/Guardian Mobile Phone Number:
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Father/Guardian Names
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Father/Guardian Mobile Phone Number:
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Everyday Pre-K Fall 2024 Class Times
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Choose Best Class for your Student
#12 8:50 am - 11:20 am
#18 11:55 am - 2:25 pm (2 spots left)
Allergies Or Other Needs We Should Be Aware Of?
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Yes (If Yes, Please explain in Comments)
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Current On Immunizations?
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Yes (Please provide current record)
No (Immunizations are required at Puddle Jumper)
How Did You Hear About Us?
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