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Exira-EHK Preschool Interest Form 24/25 PreSchool
If your child will be 4 on or before Sept. 15, 2024 and you are interested in registering them for preschool please fill out the following form. This does NOT guarantee registration.
Preschool meets Monday, Tuesday, Thursday, Friday - NO WEDNESDAY
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* Indicates required question
Email
*
Your email
Child's Full Name
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Child's Gender
*
Female
Male
Parent/Guardian Name/s
*
Your answer
Phone Number 1
*
Your answer
Phone Number 2
Your answer
Physical Address
*
Your answer
Mailing Address (if different from physical)
Your answer
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