Larchmont Temple Nursery School 2017-2018 Registration Form
Please note that a non-refundable deposit of $1000 is required in order to guarantee enrollment. Please make the check payable to Larchmont Temple and deliver to the nursery school office.
Child's First Name
Your answer
Child's Middle Name
Your answer
Child's Last Name
Your answer
Preferred First Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Sex
Address
Your answer
Town
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State/Zip Code
Your answer
Are you a member of Larchmont Temple
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