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Peggy Brewin Cooperative Preschool
Peggy Brewin Cooperative Preschool
Wait list for 2018-2019
Fill out this form to be added to an interest list for 2018-2019. You will be kept updated of progress made towards a full-time offering.

To register for the program that began in September 2017, go back and select 'register for our 2017-2018 program.

Child's Name *
First Last
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Name *
First Last
Your answer
Phone Number *
819-555-5555
Your answer
Email Address *
Your answer
Preferred contact method
Are you interested in the Morning Program (8:30am - 12:00pm) or the Extended Program (8:30am - 1:30pm)?
How many days per week are you interested in?
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