Infant Enrollment Form - Close to My Heart
Email address *
Which days will your child be attending? *
Required
Registration Fee: $80.00 **Scholarships are available, a scholarship application must be completed**
Your Child's....
Last Name *
Your answer
First Name *
Your answer
Middle Name *
Your answer
Nickname
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Your answer
*
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