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Preschool Registration
2019-2020 School Year
Child's Name *
Your answer
Age
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Please Check which class
Parent's name
Your answer
Address (Street, City, State and Zip Code)
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Home Phone Number
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Mom's Cell
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Mom's Work #
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Dad's Cell
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Dad's Work #
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