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2019-20 Registration for Potential Peer Models
If you are interested is having your child be a peer model for the 2018-19 school year, please fill out this form. It is important to know that this registration form is used to put your child on the wait list. Once your information is received and the date nears, a packet will be mailed out to you with further information and requirements.
Email address *
Name of Child *
Your answer
Date of Birth *
Your answer
Will your child be 3 by August 1, 2019 *
Parent Name *
Your answer
Parent address *
Your answer
Parent phone number *
Your answer
Gender *
Notes or special requests
Your answer
A copy of your responses will be emailed to the address you provided.
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