2018-2019 OPEN REGISTRATION FORM

Child's Full Name

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* 1. Child's Full Name

Child's Gender

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* 2. Child's Gender

Date of Birth

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* 3. Date of Birth

Parent's Name

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* 4. Parent's Name

Email

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* 5. Email

Preferred Phone Number

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* 6. Preferred Phone Number

Which class would you like to enroll your child in?

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* 7. Which class would you like to enroll your child in?

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