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Preschool Application for Northridge for the 2022-2023 School Year.
Admittance to preschool is based on review of application and classroom availability. Your application will be electronically date stamped upon completion.
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* Indicates required question
Email
*
Your email
Name of person completing the form
*
Your answer
Relationship to child
*
Your answer
Student's first name
*
Your answer
Student's last name
*
Your answer
Student's middle name
*
Your answer
Gender of student
*
Male
Female
Required
Age of student (Peer models must be 4 by start of school)
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Your answer
Date of Birth (Peer models must be 4 by start of school)
*
MM
/
DD
/
YYYY
Parent/Guardian information
Mom's first and last name (N/A if not applicable)
*
Your answer
Email address
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Your answer
Street Address (within the boundaries of Northridge)
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Your answer
City
*
Your answer
Zip code
*
Your answer
Cell Phone (N/A if not applicable)
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Your answer
Home Phone ( N/A if not applicable)
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Your answer
Work Phone ( N/A if not applicable)
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Your answer
Dad's first and last name ( N/A if not applicable)
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Your answer
Email address (N/A if not applicable)
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Your answer
Dad's address (N/A if not applicable)
*
Your answer
Dad's home phone number (N/A if not applicable)
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Your answer
Dad's cell phone (N/A if not applicable)
*
Your answer
Dad's work phone (N/A if not applicable)
*
Your answer
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