Imagine School at Broward 3 Year Old Class Pre-Registration Form
Our three year old curriculum will focus on social growth, vocabulary, hands on activities, cooking, science, music and creative art.  We guarantee a fun filled year of learning and laughter.  Planned times: 8:30 - 2:30 $975/month  Please fill out the pre-registration form and we will contact you in regards to the next step in this process.   For more information, please contact Cindy Brown at cindy.brown@imagineschools.org or 954-255-0020 x108.

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Email *
Child's First Name *
Child's Last Name *
Child's Date of Birth *
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Child's Gender *
Parent #1 First Name *
Parent #1 Last Name *
Parent #1 Telephone Number *
Parent #1 Email *
Parent #2 First Name
Parent #2 Last Name
Parent #2 Telephone Number
Parent #2 Email
Child's Home Street Addess *
Child's Home City *
Child's Home Zip Code *
Language(s) spoken at home *
Language(s) child speaks *
Does child have a sibling attending Imagine School at Broward?  If yes, please list name of sibling(s).
Please indiciate if parent(s) is/are one of the following: *
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