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Preschool Registration
Preschool Registration
Please complete the form below. Required fields marked with an asterisk *
Parent Name (Nombre de los padres)
*
Answer Required
Address (Domicilio)
*
Answer Required
Telephone Number (Numero de teléfono)
*
Answer Required
Childs Name (Nombre del niño/a)
*
Answer Required
Date of Birth
*
Answer Required
Number of Adults (Numero de adultos)
*
Answer Required
Number of Children in Home (Numero de niños en casa)
*
Answer Required
Language Spoken at home (Idioma que se habla en casa)
*
Answer Required
Proof of age (birth certificate for all children)
*
Answer Required
Choose a file
or drag it here.
Income verification(4 most recent paycheck stubs)
*
Answer Required
Choose a file
or drag it here.
Child immunization records.(Child must have a TB skin test or assessment)
*
Answer Required
Choose a file
or drag it here.
CHDP physical examination
*
Answer Required
Choose a file
or drag it here.
Address verification e.g. one of the following receipts: rent,gas,electricity, or telephone
*
Answer Required
Choose a file
or drag it here.
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