Preschool Registration
Student's information
First Name
Your answer
Middle Name
Your answer
Last Name
Your answer
Birth date
MM
/
DD
/
YYYY
Class
Ethnicity:
Address
Mailing
Your answer
Street
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City
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County
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Zip Code
Your answer
Parent/Guardian Information
Home Phone
Your answer
Email Address
Your answer
Mother's Name
Your answer
Mother's Phone Number
Your answer
Father's Name
Your answer
Father's Phone Number
Your answer
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