DaySchool Application
KinderHaus provides an intimate, progressive and multicultural preschool education that is ideal for preparing our children to take part in the opportunities of an international future.
Child #1 Full Name
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Child #1 Birth Date
mm/dd/yy
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Gender
Child #2 Full Name
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Child #2 Birth Date
mm/dd/yy
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Gender
Parent 1 Full Name
Your answer
Parent 2 Full Name
Your answer
Family Home Address
Please record the complete home address
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Parent 1 Telephone Numbers
Please add all work, home and cell numbers and label accordingly
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Parent 2 Telephone Numbers
Please add all work, home and cell numbers and label accordingly
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Parent 1 email address
Please record all relevant email addresses
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Parent 2 email address
Please record all relevant email addresses
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I am interested in the following Program(s)
I am interested in the following # of days a week
Would you like KinderHaus to contact you?
Does your child have any medical conditions or allergies?
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Does your child receive or expected to receive any special services, i.e., speech/language therapy, SEIT (special instruction), occupational or physical therapy?
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Describe the reasons for your interest in KinderHaus for your son or daughter:
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