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Children "R" Us Academy Family Intake Form
This user-friendly online application is designed to make your experience as smooth and straightforward as possible.
Principal Address:
1045 S. Saticoy Ave Ventura, CA 93004
Phone Number:
1-805-647-KIDS (5437)
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Email
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Your email
***Our facility is located on Saticoy Ave. at 1045 S. Saticoy Ave Ventura, CA 93004 across from Fritz Huntsinger Youth Sports Park***
Mother's Name
Your answer
Father's Name
Your answer
Mother's Phone Number
Your answer
Father's Phone Number
Your answer
Mother Email Address
Your answer
Father Email Address
Your answer
Child's Name (1)
Your answer
Child's Age (1)
Your answer
Child's Birthday (1)
Your answer
Child's Name (2)
Your answer
Child's Age (2)
Your answer
Child's Birthday (2)
Your answer
Program of Interest
Preschool
Pre-Kindergarten
Kindergarten
How Did You Hear About Us?
Word of Mouth
Online
Referral
Other
***Our facility is located on Saticoy Ave. at 1045 S. Saticoy Ave Ventura, CA 93004 across from Fritz Huntsinger Youth Sports Park***
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