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PARTNERS IN PRESCHOOL PRE-ENROLLMENT FORM CHILD S NAME First Middle Last CHILD S DATE OF BIRTH SEX Male Female MAILING ADDRESS PHYSICAL ADDRESS HOME PHONE WHAT SCHOOL DISTRICT DO YOU PREFER South Bend Raymond Willapa Valley WHAT PROGRAM BEST FITS YOURCHILD S AGE 4 Year Old Preschool 4yo by Aug 31 2017 AM PM Full Day Eligibility Restrictions Apply Junior Preschool 30 months between Sept 1 2017 and Aug 31 2018 Playgroup CELL PHONE Childfind/Early Intervention Programs Is it ok to text YES...
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Enrollment form - south is a document that collects information about individuals who wish to enroll in a specific program or service in the southern region.
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