Kindergarten Registration for 2020-2021 school year

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* 1. Student's first name

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* 2. Student's last name

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* 3. Student's gender

Male

Female

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* 4. Student's address

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

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* 5. Student's date of birth

Date / Time

Date

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* 6. Best phone number to contact.

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* 7. Mother's full name

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* 8. Mother's cell phone

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* 9. Father's full name

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* 10. Father's cell phone

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* 11. Guardian's full name

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* 12. Guardian's cell phone (if living with someone other than mother and/or father)

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* 13. Parent email address