UPK Tentative Admission Form
Universal Pre-K Program, Al-Iman School
* Required
Full name of child:
*
Your answer
Home Address
*
Your answer
Child gender:
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Languages child speaks:
Your answer
Toilet-Trained
*
Yes
No
Recognizes alphabets and numbers?
Yes
No
Somewhat
Clear selection
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