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  • Summer Camp Pre-Registration Form PR07-Summer

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    Sonya Myles Sloan
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    CHILD INFOR MATION child's name: Nickname: Address: Birth Date: PARENT / GUA RDIAN IN FORMA TION Subdivision: Mother's Full name Address: Phone: Employer's Address: Email Address: Will your child have a sibling enrolled? o yes o No If yes, what year?

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    CHILD INFOR MATION child's name: Nickname: Address: Birth Date: PARENT / GUA RDIAN IN FORMA TION Subdivision: Mother's Full name Address: Phone: Employer's Address: Email Address: Will your child have a sibling enrolled? o yes o No If yes, what year?

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views1 page

    Summer Camp Pre-Registration Form PR07-Summer

    Uploaded by

    Sonya Myles Sloan
    CHILD INFOR MATION child's name: Nickname: Address: Birth Date: PARENT / GUA RDIAN IN FORMA TION Subdivision: Mother's Full name Address: Phone: Employer's Address: Email Address: Will your child have a sibling enrolled? o yes o No If yes, what year?

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    PR07-Summer

    SUMMER CAMP PRE-REGISTRATION FORM


    (Please print and use a separate form for each child)

    Date of Registration:
    Requested First Day of Attendance:

    I hereby apply for enrollment of my child to Primrose School.


    CHI LD INFOR MATION
    Child’s Name: Nickname:
    Address:
    Birth Date: Sex: Male Female Age:
    PARENT/GUA RDIAN IN FORMA TION
    Subdivision:
    Mother’s Full Name Marital Status
    Address:
    Phone: License #: Work Hours:
    Employer’s Address: Work Phone:
    Email Address:

    Subdivision:
    Father’s Full Name Marital Status
    Address:
    Phone: License #: Work Hours:
    Employer’s Address: Work Phone:
    Email Address:

    Has your child been previously enrolled with Primrose? о Yes о No If yes, what year?
    Will your child have a sibling enrolled? ? о Yes о No If yes, give sibling’s first name and age:

    I MP OR TANT N OT E:

    ENROLLMENT: Prior to your child’s attendance at Primrose, all enrollment information must be completed, signed
    and returned to the school office along with your child’s non-refundable registration/equipment fee.

    Signature of Parent/Guardian Date

    Rev: 2/18/2009
    Balanced Learning® for the Balanced Child®

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