Child’s
Name and age:
Nickname:
Name
you would prefer they practice writing:
Date
of Birth:
Mother’s
name:
Father’s
name:
Mother
Phone
number:
Address:
Email
address:
Father
Phone
number:
Address:
Email
address:
Emergency
Contact Number:
Relationship
to student:
Does
your child have any allergies? If so please list them:
About your student
Favorite
food:
Favorite
color:
Favorite
movie or TV show:
Favorite
activity:
Anything else I should know about your child?
Once your child's registration form is submitted and the $40 registration fee is paid, your child's spot will be held! Forms can be sent to getupandmoveprek@gmail.com and the fee can be paid through Venmo (@courthansen).
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