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Fall 2023 Lower School Registration Form
* One form needs to be completed per child
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* Indicates required question
Email
*
Your email
Student's Information
Student's Name
*
Include first and last name.
Your answer
Grade
*
Choose
PK 3
PK 4
K
1st
2nd
3rd
4th
5th
Gender
*
Choose
Male
Female
Non-Binary
Other
Parent and/or Guardian Name
*
Include first and last name.
Your answer
Relationship to Student
*
Choose
Mother
Father
Grandmother
Grandfather
Aunt
Uncle
Guardian
Other
Emergency Contact Phone Number
*
Your answer
Phone Number
*
Your answer
Alternate Phone Number
Your answer
Email Address
*
Your answer
Emergency Contact
*
Include first and last name.
Your answer
Emergency Contact Relationship to the Student
*
Choose
Mother
Father
Grandmother
Grandfather
Aunt
Uncle
Guardian
Family Friend
Other
Allergies
*
Your answer
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