2016-2017 Registration Request Form: Glendale Community Preschool
Filling out this form means you are REQUESTING THE CHANCE TO REGISTER your child at our preschool.
Submitting this form does NOT mean your child is registered.
After you submit this form, we will contact you to confirm availability.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Birthdate *
MM
/
DD
/
YYYY
Child's Gender *
Mother's First and Last Name *
Your answer
Father's First and Last Name *
Your answer
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