First/Kinder-Readiness Registration

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June 2023

Adresse e-mail *

Parent Name *

Parent Phone *

Student #1 Name *

Student #1 Birthdate *

Student #1 Allergies or Medical/Learning Diagnoses *

Student #1 (Please describe any areas of concern or opportunities for growth for your child) *

Student #2 Name *

Student #2 Birthdate *

Student #2 Allergies of Medical/Learning Diagnoses *

Student #2 (Please describe any areas of concern or opportunities for growth for your child) *

Please Select the Dates You Would Like to Register *

3-Day June 12-16

5-Day June 19-23

3-Day June 19-23

5-Day June 26-30

3-Day June 26-30

5-Day July 10-14

3-Day July 10, 12, 14

5-Day July 17

3-Day July 17, 19, 21

5-Day July 24

3-Day July 24, 26, 28

Obligatoire

Look for an email confirmation with additional details and payment options after submitting this form. *

I agree

Obligatoire

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