Early Birds Registration
Parents will be place in class based on your child's age as of September 1st. Groups will be based on the year your child enters kindergarten.
Name of Parents/Guardians: *
Your answer
Child's Last Name: *
Your answer
Child's First Name *
Your answer
Child's Birthdate: *
Your answer
Address *
Street, City, State, Zip Code
Your answer
Family Phone # *
Your answer
Elementary school your child attends or will attend: *
Date and time of class parents wish to attend *
Child care needed? *
Child care is provided for children ages 1-10. Please arrive early if child care is needed
If child care is needed list the names and age of those children
Your answer
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