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Little Round Schoolhouse General Application
Use this if you are applying for: Parent-Child Program, Children's Garden, or Coyote Creek
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* Indicates required question
Email
*
Your email
Program for which you are applying:
Children's Garden (Tuesday mornings; ages 3-6.5)
Coyote Creek Early Grades (Wednesday afternoons; ages 7-9)
Parent-Child (Monday mornings; birth-three)
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Child's Full Name
*
Your answer
Child's preferred name (if different)
Your answer
Child's gender
*
Male
Female
Other
Child's birthday
*
MM
/
DD
/
YYYY
Parent 1 Full Name
*
Your answer
Parent 1 Physical Address
*
Your answer
Parent 1 Email address
*
Your answer
Parent 1 Phone number
*
Your answer
Parent 2 Full Name
Your answer
Parent 2 Physical Address
Your answer
Parent 2 Email address
Your answer
Parent 2 Phone number
Your answer
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