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Email
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Your email
Parent #1 FIRST Name:
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Your answer
Parent #1 LAST Name:
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Your answer
Phone Number [Parent #1]
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Your answer
Parent #2 FIRST Name:
Your answer
Parent #2 LAST Name:
Your answer
Phone Number [Parent #2]
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Parent #2 Email Address
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Child's FIRST Name:
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Your answer
Child's LAST Name:
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Your answer
Child's NICKNAME:
Please let us know if your child goes by another name.
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Grade
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Choose
ETK/UTK
TK
K
1
2
3
4
5
Room Number
If you do not know the room number, please skip
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Pick-UP: Other than myself, my child may be picked up by the following. Please state the relationship to the child. [Ex: John Doe: Grandparent]
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