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SimpleLife Preschool Wait-List
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Email *
Parent/Guardian Name(s): *
Child's Name 
*Please fill out an additional form for siblings of different ages*
 *
Is your child a girl or boy? (Please help us out, we don't always know based on their name.) *
Child's Birthdate *
MM
/
DD
/
YYYY
Contact Phone Number 
Please double check number is correct - if we get to your name we will be reaching out via text.
Preferred Format: * 1-(area code)-555-5555 *
 *
Which Class(es) would you like your child to attend? *
Required
Additional Comments?
When are you hoping to start preschool? (child must be 3 years old to start)
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