2021-2022 Complete Registration Form
Thank you for your interest into our school. In order for your child to be considered for enrollment, please call 757.467.1234 to speak with an administrator and/or schedule a tour. Once contacted, we will share the necessary steps to complete the process. We look forward to speaking with you soon! Barefoot Kids
Email *
Requested Date of Enrollment: *
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Child's Complete Name: *
Child's Nickname *
Sex: *
Date of Birth: *
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Home/Primary Phone Number (First number for us to contact): *
Address: *
City: *
State: *
Zipcode: *
Race: *
Is your child Hispanic or Latino? *
Please list any languages spoken at home other than English (n/a if not applicable): *
Name and Ages of Siblings: *
Previous Child Day Care Programs and Schools Attended: *
If child Attends this School or Another School/Program, Give Name of School/Program and Grade: *
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