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Enrollment Form
Parents/ Guardian Information:
Parent’s Last Name
Parent’s First Name
Address
Email
Phone number
Child Information:
Select a group to enroll your child in
Child’s Last Name
Child’s First Name
Date of Birth
Select Gender
Last 4 Digits of SSN
Upload your child's birth certificate
Maximum 15 MB
Select the date of admission:
Select days to attend kindergarten
Monday
Tuesday
Wednesday
Thursday
Friday
Date of enrollment
Parent's signature
Clear
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