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Preschool Referral Form

Use this form if you are not the legal parent/guardian and are making a referral as either an agency/professional, friend, or family member on behalf the child/family. If you are the parent/guardian of the child, use this Parent Inquiry form instead.

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Child Information

Birthday
Year
Month
Day

AM Classes 9-11:30 | PM Classes 1-3:30

Preferred class days (MAX of 2 per week)

First Choice
Second Choice
No Preference
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