PS 234 Registration Appointment Request

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Registration for next year's 1st - 5th grades will be on May 21st & 22nd.

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CHILD'S NAME *

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Child's Date of Birth *

MM

/

DD

/

YYYY

I would like to come in for a registration appointment on

May 21st at 9am

May 22nd at 9am

Child's Gender

Female

Male

Prefer not to say

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Child's Grade in September 2024 *

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Child's Previous School *

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Home Address

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Parent 1 Name *

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Parent 1 email address *

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Parent 1 phone number *

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Parent 2 Name

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Parent 2 email address

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Parent 2 phone number

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Submit

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