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Adath Jeshurun Preschool Infant Center 7763 Old York Road Elkins Park Pa 19027 Phone 215-635-3490 www. ajpreschool.net REGISTRATION FORM for AJ PRESCHOOL AND INFANT CENTER SEPTEMBER 2011- JUNE 2012-Preschool Academic Year 10 months Child Name First and Last Name Child s Religion Boy/Girl Birth Date or Expected Due Date Child s Age as of 9/1/11 Home Address Street City State Zip Home Phone Parent Full Name Mr. Adath Jeshurun Preschool Infant Center 7763 Old York Road Elkins Park Pa 19027 Phone...
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