Family Information
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Child's Name (first and last)
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Child's Date of Birth
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DD
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Name of Guardian
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Name of Guardian
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Address (#, city, state, zip code)
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Primary Phone Number
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Secondary Phone Number
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Primary Email Address
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Secondary Email Address
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I am a member of St. John's United Methodist CHURCH
I have a child that was formerly enrolled at St. John's PDO and Preschool
My Child is currently enrolled in the following classroom:
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