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150 for 2 3 and 4 Year Olds 150 for Infant and 1 Year Olds Currently Enrolled Sibling Church Member Please Note Class placement is based on the child s age as of September 1st for that school year. Child s Name Date of Birth Child s Age as of Sept. 1 2015 Parent s Name Address City State Zip Code Phone Email Please Check Which Option Applies Infant 1 year old 4 year old 7 00am 5 50pm VPK Hours Only 4 years old 9 00am - 12noon I have read and understand this registration form and agree to...

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