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* 1. Child's full name

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* 2. Child's Date of Birth

Date

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* 3. Class (first choice)

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* 4. Class (second choice)

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* 5. Parent(s) Name(s)

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* 6. Email address

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* 7. Cell phone number

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* 8. Home address

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* 9. Comments

0 of 9 answered
 

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