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Saturday School Registration Form 2021/2022
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First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Class
*
Choose
Nursery
Pre-Kindergarten
Kindergarten
1st Grade Eastern
1st Grade Western
2nd Grade Eastern
2nd Grade Western
3rd Grade Eastern
3rd Grade Western
4th Grade Eastern
4th Grade Western
5th Grade Eastern
5th Grade Western
6th Grade Eastern
6th Grade Western
7th Grade Eastern
7th Grade Western
Post-Graduate
Fathers Name
*
Your answer
Mothers Name
*
Your answer
Address
*
Your answer
Home Phone
*
Your answer
Cell Phone #1
*
Your answer
Cell Phone #2
Your answer
Email Address #1
*
Your answer
Email Address #2
Your answer
Emergency Contact
*
Your answer
Allergies
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Your answer
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