Begindergarten Interest Form
Email address *
Child's Full Legal Name (first/middle/last)
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Chid's Gender
Child's Place of Birth (city/state)
Your answer
Race/Ethnicity
Primary Language Spoken in Home
Your answer
Child's Address
Your answer
Name of child's biological mother, stepparent (female), or legal guardian (female)
Your answer
Address of child's biological mother, stepparent (female), or legal guardian (female)
Your answer
Phone number of child's biological mother, stepparent (female), or legal guardian (female)
Your answer
Name of child's biological father, stepparent (male), or legal guardian (male)
Your answer
Address of child's biological father, stepparent (male), or legal guardian (male)
Your answer
Phone number of child's biological father, stepparent (male), or legal guardian (male)
Your answer
Do you prefer the AM session (8:30-11:30) or PM session (12:30-3:30) or the Full Day Session?
Will you be attending our "Begindergarten" Parent Information Night?
Marysville High School (Performing Arts Center) @ 6:00 PM on February 7, 2018
A copy of your responses will be emailed to the address you provided.
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