Center Moriches UFSD Kindergarten Registration
2020-2021 Kindergarten Registration
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Child's First Name *
Child's Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Current UPK Student *
Home Address *
Mailing Address (If different)
Parent 1 - First Name *
Parent 1 - Last Name *
Parent 1 - Cell Phone
Parent 1 - Home Phone
Parent 1 - Work Phone
Parent 2 - First Name
Parent 2 - Last Name
Parent 2 - Cell Phone
Parent 2 - Home Phone
Parent 2 - Work Phone
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