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2022-2023 Enrollment Request Form
Child/Children's Full Name(s)
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What is your child's birthday?
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Parent/Guardian Full Name #1
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Parent/Guardian #1 Email Address
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Parent/Guardian Full Name #2
*
Parent/Guardian #2 Email Address
*
What program are you looking to join?
*
Infant (6 Weeks - 12 Months)
Waddler (12 - 18 Months)
Toddler (18 - 36 Months)
Preschool Full-Time (3 years old by Aug. 31st)
Preschool 3-Hour (3 years old by Aug. 31st)
Pre-K Full-Time (4 years old by Aug. 31st)
Pre-K 3-Hour (4 years old by Aug. 31st)
Elementary (K-5th)
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