Talent Prep Astoria Registration Form
G&T / Bilingual Preschool Program for children 2-5 years old
Child's Name *
Your answer
Child's Date of Birth *
MM/DD/YY
Your answer
Guardian #1/Parent's Name *
Your answer
Guardian #1/Parent's Email Address *
Your answer
Guardian #1/Parent's Phone Number *
Your answer
Guardian/Parent #2's Name
Please include names of anyone who is authorized to pick up your child from school.
Your answer
Guardian/Parent #2 Contact Infomation
Email or a valid phone number
Your answer
Does your child have any known allergies/special needs? *
Your answer
Emergency Contact Full Name and Relation to Child *
Your answer
Emergency Contact's Phone Number *
Your answer
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