DATE:  Wednesday, April 5th at 10am
LOCATION:  22555 Oxnard Street, Woodland Hills, CA 91367

* 1. Parent/Guardian Information

Child #1 Information

* 2. Child's Name

* 3. Child Date of Birth

 Date of Birth
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* 4. Current School Your Child is Attending

Child #2 Information

* 5. Child's Name

* 6. Child's Date of Birth

 Date of Birth
/
/

* 7. Current School Your Child is Attending

* 8. Grade(s) interested in for 2017-2018

* 9. How did you hear about us? (please check all that apply)

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