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LCNS Registration for 2017-2018
Child's Information
Child's Last Name
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Child's First Name
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Child's Nickname:
(If applicable)
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Child's Gender
Required
Child's Date of Birth
MM/DD/YYYY
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Child's Age on Sept 1, 2017
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Information for School Correspondence & Directory
Enrollment Selection
Please select the class choice for your child
Required
Mother's/Guardian's Last Name
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Mother's Guardian's First Name
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Father's/ Guardian's Last Name
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Father/Guardian's First Name
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Street Address
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City
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Zip Code
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Preferred Phone Number
XXX-XXX-XXXX
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Phone Type
Required
Alternate Phone Number
XXX-XXX-XXXX
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Phone Type
Primary Email Address
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Secondary Email Address
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LCNS Board of Directors
Are you interested in serving on the LCNS Board?
Are you interested in serving on the Fundraising Committee?
How did you hear about LCNS?
I have read and understand LCNS' Registration Policies
Please see the Registration Policies document on www.lcns.org or contact the Director for a copy.
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