Saint Clement's Preschool Registration Form
Email address *
Student Name ( s) *
Your answer
Parent/Guardian Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Phone number *
Your answer
Address
Your answer
Previous Exposure to Mandarin Chinese *
Your answer
Food allergies if any
Your answer
Is your child enrolled in St Clement's afterschool program? ( If not, we will need to pick them up from the auto line. You will also need to send us a written pick up authorization. ) *
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