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Preschool
Daycare
Advisory Board
Preschool Registration Form
(Legacy representative will contact you shortly after the submission of this form)
child's Name
*
child's Age
*
Gender
*
Female
Male
child's Birth Date
*
Applying For Admission in
*
Pre-Nursery
Nursery
Pre-Kindergarten
Kindergarten
DayCare Full Day
DayCare AM Half Day
DayCare PM Half Day
Home Adddress
*
Home Phone
Father's Name
*
Occupation
*
Email
*
Cell Phone#
Work Phone#
Mother's Name
*
Occupation
*
Email
*
Cell Phone#
Work Phone#
