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Waiting List Registration
Child's Name
First:
*
Last:
*
Middle:
Child's Birth Date:
MM
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2006
2007
2008
2009
*
Name of the Parent/Guardian:
*
Day time Phone #:
*
XXX-XXX-XXXX
Alternative Phone #:
XXX-XXX-XXXX
Email Address:
*
A confirmation message will be sent to this address.
Does the child have a sibling attending Chamlian / Tufenkian?
No
Yes
Name of the sibling:
Grade/Group:
Are you a Western Prelacy School or Organization employee?
No
Yes
Name of School or Organization:
First & Last Name:
Additional Comments:
Please Note:
This application is valid only for one academic year.
This application is for waiting list only and does not guarantee an automatic entry in to the preschool. The actual registration for enrollment will take place during the month of
March/April 2012
.
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© 2011 St. Mary's Richard Tufenkian Pre-School. All Rights Reserved. -
Inverselogic, Inc
