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First Name (Parent)
Last Name (Parent)
Email (Parent)
Phone Number (Parent)
Child - First Name
Child - Last Name
Child - Legal Notes / Allergy Notes
Age
-
1
2
3
4
5
6
7
8
9
10
11
Grade Level
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Pre-K
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1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Is your child potty trained? (Nursery and Toddler Only)
Yes
No
For more than one child, please add your childs name, legal notes and allergy notes, age below:
Anything else you'd like us to know?
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