2019-2020 MHNS Pre-Registration For New Students

Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Birthdate *
Your answer
Gender *
Does your child have allergies that require medication? *
1st Caregiver/Guardian *
Your answer
2nd Caregiver/Guardian *
Your answer
Street Address *
Your answer
City *
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State *
Your answer
Zip Code *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
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Email Address *
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Tell us how you found us *
First Choice *
Please check the class you would be interested in for the upcoming school year
Second Choice *
Please check the class you would be interested in for the upcoming school year
Enrichment Class 1:00pm-3:00pm *
Comments:
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