Registration Little Lamb Preschool September 2018- May 2019
Little Lamb Preschool
2610 Campbell Street
Valparaiso, IN 46385
219-462-6660 #14
LLP@CLCValpo.org
Little Lamb Preschool does not discriminate on the basis of race, color, national or ethnic origin.
Email address *
Child's First Name *
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Child's Last Name *
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Child's nickname if you would like your child to learn to spell nickname instead.
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Child's Gender *
Child's Birthday *
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DD
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Street Address *
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City *
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Zipcode *
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Best Email Address *
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Mother's/Guardian's Name *
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Mother's/Guardian's Occupation *
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Business Name and Telephone Number *
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Father's/Guardian's Name *
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Father's/Guardian's Occupation *
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Business Name and Telephone *
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Marital Status *
Child Resides with *
Please list names and birth dates of other children in family *
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Church Affiliation (You need not be a member of Christ Lutheran Church to register)
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How did you hear about LLP?
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Please Select your first choice. *
If you have a second or third choice, please list below.
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Little Lamb Preschool Parent Agreement *
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