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Norris Preschool Application
NOTE: If your child is kindergarten eligible he/she is not eligible for preschool. Determinations will take place by the end of January, and contact will be made by the school regarding enrollment for the next school year.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Gender *
Mother's First Name (or NA if not applicable) *
Your answer
Mother's Last Name (or NA if not applicable) *
Your answer
Father's First Name (or NA if not applicable) *
Your answer
Father's Last Name (or NA if not applicable) *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Primary phone number (For contact purposes): *
Your answer
Secondary phone number (For contact purposes):
Your answer
Mother's Email address (or NA if not applicable) *
Your answer
Father's Email address (or NA if not applicable) *
Your answer
Was your child born prematurely? *
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