19-20 Request to attend a different Early Learning Center
Please complete this form to request to attend a different Early Learning Center than your home Early Learning Center. Please note that a request of a different Early Learning Center may affect the ability to have transportation for kindergarten students.
Name of Child
Your answer
Birthdate of Child
MM
/
DD
/
YYYY
Name of Parent
Your answer
Email for Parent
Your answer
Phone number for Parent
Your answer
Grade level of child
School Attended during 18-19 school year
Your answer
I would like my child to attend:
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