St. Matthew's Preschool, Inc.
2018/2019 Registration Application
Child's Information
First Name
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Last Name
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Gender
Age as of Sept 1st, 2018 *
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Birthdate
MM
/
DD
/
YYYY
Available Classes
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Mother/Parent 1
First & Last Name
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Email
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Phone Number
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Father/Parent 2
First & Last Name
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Email
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Phone Number
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Mailing Address
Street Address
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City
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Zip Code
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REGISTRATION FEE *
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