Wallingford Co-operative Preschool Registration Form
If you have any questions, please email: wallingfordregistrar@gmail.com
Email address *
Child's Name *
Your answer
Child's Birthdate *
MM
/
DD
/
YYYY
Gender
Registering child for which class: *
Pre-3s must be 2 by Aug. 31; 3-4s must be 3 by Aug. 31; 4-5s must be 4 by Aug. 31
Are the child's immunizations current? *
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