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Summer Play Fun @ HOME Enrollment Form
July 6 - 27, 2022
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* Required
Email
*
Your email
Child's Complete Name
*
Your answer
Child's Nickname
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Is this your child's first time to attend school?
*
Yes
No
Has you child been seen by a developmental pediatrician? If yes, please state the reason.
*
Your answer
Parent's Name
*
Your answer
Parent's Cellphone Number
*
Your answer
Do I have Viber?
*
Yes
No
Required
By submitting this Enrollment Form, you agree and consent to the collection, generation, use, processing, storage, and retention of your personal data and that of our child's by Kids Playlab Preschool for the purposes described above.
*
I agree.
Required
I hereby allow my child to appear on photographs and/or videos about Kids Playlab Preschool. This declaration of consent permits Kids Playlab Preschool to use my child's photographs and/or images in their press releases/marketing and in any form of media.
*
I agree.
I do not agree.
Required
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