Winfield Preschool and Kindergarten Registration Information
Student's Full Name (First, Middle, Last): *
Please complete the basic information below for your child and someone will be in touch to complete the registration process.
Student's Address (Include City, State, Zip): *
Gender: *
Place of Birth: *
City of Birth: *
Country of Birth: *
Age: *
Date of Birth: *
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DD
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YYYY
Ethnic Group (Please Select): *
Required
Parent/Guardian's Full Name: *
Relationship to Child: *
Required
Parent/Guardian's Address (Include City, State & Zip): *
Parent/Guardian's Phone Number: *
Parent/Guardian's Email Address: *
Other Parent/Guardian's Full Name:
Relationship to Child:
Other Parent/Guardian's Address (Include City, State & Zip):
Other Parent/Guardian's Phone Number:
Other Parent/Guardian's Email Address:
Best Method of Contact: *
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