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CHRISTIAN SCHOOL
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Preschool - Admission Application
*There is a Non-refundable Application Fee of $55 (Due upon completion of application)
Class applying for:
Choose an option
PS 2's
PS 3's
PS 4's
Junior Kindergarten
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Optional service:
Before Care ($50/mo.)
Interested in:
Choose an option
Full Time (M-F - $730/mo.)
Part Time (M/W/F - $630/mo.)
Part Time (T/W/Th - $630/mo.)
Half Day (M-F - $630/mo.)
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For School Year:
Choose an option
2020-2021
2021-2022
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*Half day is not optional for Junior Kindergarten
STUDENT INFORMATION:
First Name
Last Name
Address
City/Zip
Current Age
Gender
Choose an option
Female
Male
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Birthday
Birth Place
Ethnicity
Language spoken at home
MEDICAL INFORMATION:
Physician's Name
Phone
Address
City/Zip
Ongoing/recurrent Medical Conditions
Allergies
Medications (list names)
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