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Our 3/4 Class is now full!

To be added to the waiting list for this class, please click here!

Child Enrollment Form

Adults Authorized to Pick Up The Child

Other Children in The Household

Experiences With Other Children

Has this child ever been involved in a Preschool/Parents Day Out before?

Toilet Habits

Allergies

Does this child have any food allergies?
Does this child have any other allergies?

Name a person other than the parent who is authorized to act in an emergency if the parent cannot be reached.

Emergency Information

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