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Trinity Lutheran Preschool Registration
2949 Alamo Street
Simi Valley, CA 93063
(805) 526-5975
Email address *
2017- 2018 School Year
Days of week
Full Day (7:00 am-6:00 pm) or Half Day (8:30 am-12:00 pm)
Child's name:
Your answer
Birthdate
MM
/
DD
/
YYYY
Street Address
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City
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State
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Zip
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Father's name
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Father's phone number
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Father's email
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Father's place of employment
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Mother's name
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Mother's phone number
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Mother's email
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Mother's place of employment
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Email for invoices/school information
Allergies
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Is your child baptized?
Name of church your family attends & location
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Would you like to know more about Trinity Lutheran Church and its ministries?
How did you hear about our school?
Ethnicity/Race of your child
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Special Requests
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