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Parent Information
First Name
Last Name
Email
Phone
Child Information
Child's First Name
Child's Last Name
Child's Gender
Boy
Girl
Not Specified
Child's Birthday
Desired Start Date
Child's First Name
Child's Last Name
Child's Gender
Boy
Girl
Not Specified
Child's Birthday
Desired Start Date
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Additional Information
Will your student be entering Kindergarten in Fall 2025?
Yes
No
Please note your desired hours of care below:
Does your household income fall at or below 200 percent of the Federal Poverty Level (FDL)?
Yes
No
Form of Payment
State Funded
Private Pay
Tour Information
Tour Dates
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