Kindergarten Round Up 4/13-4/14
Please complete the following survey to sign your child up for Kindergarten Round Up.
* Required
Email address
*
Your email
Child's Full Name (First, Middle, Last)
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Gender
Male
Female
Clear selection
Child's Address
Your answer
Child lives with:
Parents
Mother
Father
Other:
Clear selection
Mother's Name, Address, Email address, and Phone Number
Your answer
Father's Name, Address, Email Address and Phone Number
Your answer
What times are you available? (Choose only one first preference and one second preference.)
Choose your 1st available time preference.
1-2
2-3
3-4
4-5
5-6
Tuesday
1-2
2-3
3-4
4-5
5-6
Tuesday
What times are you available? (Choose only one first preference and one second preference.)
Choose your 1st available time preference.
9-10
10-11
11-12
Wednesday
9-10
10-11
11-12
Wednesday
What times are you available? (Choose only one first preference and one second preference.)
Choose your 2nd available time preference.
1-2
2-3
3-4
4-5
5-6
Tuesday
1-2
2-3
3-4
4-5
5-6
Tuesday
What times are you available? (Choose only one first preference and one second preference.)
Choose your 2nd available time preference.
9-10
10-11
11-12
Wednesday
9-10
10-11
11-12
Wednesday
Any other comments and/or questions?
Your answer
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