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2023-2024 Integrated Preschool Lottery Application
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Email
*
Your email
Student's Last Name / Apellido del estudiante
*
Your answer
Student's First Name / Primer nombre del estudiante
*
Your answer
Date of Birth / Fecha de Nacimiento
*
MM
/
DD
/
YYYY
Gender / Género
*
Male / Masculino
Female / Femenina
Required
Home Address / Dirección
*
Your answer
Home Phone Number / Número de Teléfono de Casa
Your answer
Parent/Guardian 1 Name / Nombre de padre/guardián 1
*
Your answer
Parent 1 Phone Number / Número de Teléfono
*
Your answer
Parent 1 Email Address / Dirección de Correo Electrónico
*
Your answer
Parent 2 Name / Nombre de padre/guardián 2
Your answer
Parent 2 Phone Number / Número de Teléfono
Your answer
Parent 2 Email Address / Dirección de Correo Electrónico
Your answer
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