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2024 Traditional Preschool T/Th Fall Enrollment
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Email
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Student Name:
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Age (Age Today)
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Birth Date:
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DD
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YYYY
Gender:
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Male
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Student Address:
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Mother/Guardian Name
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Mother/Guardian Mobile Phone Number:
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Father/Guardian Name
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Father/Guardian Mobile Phone Number:
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Preschool Fall 2024 Class Times
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Choose Best Class for your Student
#1 8:40 am - 11:10 am (2 spots available)
#4 9:20 am - 11:50 am
#5 9:45 am - 12:15 pm (6 spots available)
#6 11:25 am - 1:55 pm (Full)
#7 11:35 am - 2:05 pm
#9 12:05 pm - 2:35 pm
Other:
Allergies Or Other Needs We Should Be Aware Of?
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Yes (If Yes, Please explain in Comments)
No
Current On Immunizations?
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Yes (Please provide current record)
No (Immunizations are required at Puddle Jumper)
How Did You Hear About Us?
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