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Intent to Enroll PreK - 3rd Students
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Parent/Guardian Name:
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Address:
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City:
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Zip Code:
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Phone #:
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E-Mail:
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1. Student Name:
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Grade Level (20-2021):
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2. Student Name:
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Grade Level (2020-2021):
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3. Student Name:
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Grade Level (2020-2021):
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4. Student Name:
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Grade Level (2020-2021):
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Sibling(s) / Non School Age Children
1. Child’s Name: ____ Birthdate:__
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2. Child’s Name: ____ Birthdate:__
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3. Child’s Name: ____ Birthdate:__
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Parent signature: _______________ Date:_____
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