Child's Full Address (include City, State & Zip) *
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Child Lives with *
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Was your child baptized? *
Baptismal Date (Month, Day, Year) *
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Family's Church Membership
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Please indicate class preference *
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Will your child participate in Extended Day Opportunities? (Extended day hours are 6:45 - 8:00 am and/or after class till 5:30 pm. This is available at an additional fee.) *
Were you referred to Trinity Lutheran Early Childhood Program? If yes, please give the family name.
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Name of person submitting enrollment form *
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A $200 non-refundable tuition deposit per family is required to complete enrollment and hold your preferred session.
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