Kindergarten Pre-Registration Form

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Kindergarten Pre-Registration Form

Please provide the following information for the office staff at East Haddam Elementary School. A mailing regarding Kindergarten information will be mailed at the beginning of February.

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* Indicates required question

Email *

Your email

Child's First Name *

Your answer

Child's Last Name *

Your answer

Child's Date of Birth *

MM

/

DD

/

YYYY

Gender *

Male

Female

Mailing Address *

Your answer

City *

Your answer

State *

Your answer

Zip Code *

Your answer

Guardian's First Name *

Your answer

Guardian's Last Name *

Your answer

Guardian's Phone Number *

Your answer

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