Little Ones Preschool 2022-2023 School Year Registration
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Email *
Child's First Name *
Child's Preferred First Name *
Child's Last Name *
Preschool Class for 2022-2023 School Year *
Required
Child's Birthday *
MM
/
DD
/
YYYY
Child's Age as of 9/1/2022 *
Gender *
Child's Home Street Address *
Child's Home City *
Child's Home Zip Code *
Name of Parent 1 *
Parent 1 Phone Number *
Parent 1 Email Address *
Does Parent 1 want to be on the email distributions? *
Name of Parent 2 *
Parent 2 Phone Number *
Parent 2 Email Address *
Does Parent 2 want to be on the email distributions? *
School District *
Elementary School Name *
Interested in Enrichment? *
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