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* Indicates required question
Child's name?
*
Your answer
Your Name?
*
Your answer
I plan to pay tuition:
*
1 payment for the entire year
2 payments for the entire year
6 payments for the entire year
9 payments for the entire year
10 payments for the entire year
Other:
What is the primary email address you want to receive emails from our school?
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Your answer
Primary Phone number? (for texts)
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Your answer
Secondary Email?
Your answer
Secondary Phone number?
Your answer
In case of an emergency, and we can not reach the parents, who do you want us to contact and what is their relationship to the child?
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Your answer
What is the phone number we can reach them at?
*
Your answer
Please list any other contact/emergency names and numbers we can use.
Your answer
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