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Pre-K Jumpstart
Registration
Registration
To register, please take the time to fill out the information below.
Child's First Name
Child's Last name
Birthday
Child's Age
Address, City, Zipcode
Mother's First Name
Phone
Mother's Last Name
Email
Mother's Address, City, Zipcode
Father's First Name
Father's Last Name
Phone
Father's Address, City, Zipcode
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Phone
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