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LES Kindergarten Round Up 2023-24
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* Indicates required question
Child's full name - first, middle, last
*
Your answer
Home address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Subdivision
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Guardian 1 name - first, last
*
Your answer
Guardian 1 email address
*
Your answer
Guardian 1 phone number
*
Your answer
Guardian 1 address (if different from above) - street, city, zip
*
Your answer
Guardian 2 name - first, last
*
Your answer
Guardian 2 email address
*
Your answer
Guardian 2 phone number
*
Your answer
Guardian 2 address (if different from above) - street, city, zip
*
Your answer
Preschool attended - name of school or none
*
Your answer
Has your child been enrolled in Blue Valley for Early Childhood or Special Services?
Your answer
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