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Klein Preschool/Kindergarten

Application for 2007-2008 Klein Preschool/Kindergarten

Child's Details

Last Name: *

First Name: *

Middle Initial:

Address: *

City: *

Zip: *

Home Phone#: *

Cell Phone#:

Birthdate*

Age as of 9/1/07: *

Gender: *

Male

Female

Contact Information

Mother's Name: *

Mother's Business Phone#: *

Father's Name: *

Father's Business Phone#: *

Emergency Contact Name: *

Emergency Contact Phone#: *

Parent's email address:

Class Options

Age Group: *

2 Yr. Olds

3 Yr. Olds

4 Yr. Olds

Kindergarten (5 full days only)

Schedule: *

5 Half Days

3 Full Days

5 Full Days

Early Care (7:30 - 9:00AM M-T-W-Th-F)

Late Care (3:30 - 6:00PM M-T-W-Th-F)

Events

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JCCs of Greater Philadelphia

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