Preschool Registration Application
NON-DISCRIMINATION POLICY
Avilla Christian Academy does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational policies or employment practices, or in its admissions, scholarship, tuition assistance, athletics, fine arts, or any other school programs.
Email address *
Child's Full Name:
Please select which program you are enrolling for: *
Birth Date *
MM
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DD
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YYYY
Current Age at start of school year: *
Gender: *
Home Phone: Put N/A if not applicable *
Mobile Phone: Put N/A if not applicable *
Work Phone: Put N/A if not applicable *
Street Address: *
City and Zip code *
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