2024-2025 Registration - Little Pilgrim School
Please use this form if you wish to enroll your child for the 2024-2025 School Year
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Parent/Guardian Email Address *
2nd Parent/Guardian Email Address
Days child will attend *
Required
Child's First and Last Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Address: street, city, state and zip code *
Parent 1/Guardian's First and Last Name *
Parent 1 Address (if different than child's) (street, city, state and zip code
Parent 1/Guardian Phone number including area code *
Parent 1/Guardian Cell Phone Carrier, i.e., Verizon, AT&T, etc.
Parent 2/2nd Guardian First and Last Name
Parent 2/2nd Guardian address (if different than child's) (street, city, state and zip code
Parent 2/2nd Guardian Phone number including area code
Parent 2/2nd Guardian Cell Phone Carrier, i.e., Verizon, AT&T, etc.
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