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harvest preschool
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Harvest Preschool Student Application
Which class?
*
Three Year Old Class (Age 3 before 9/1/2024)
Four Year Old Class (Age 4 before 9/1/2024)
Child's First and Last Name
Nickname
Age
Child's Primary Language
Sex
Date of Birth
Parent/Guardian's Primary Language
Child's Home Address
Does your child have any allergies or medical concerns we should know about? Please explain
Does your child qualify for or recieve special services? Please explain
Child lives with?
Parent/Guardian #1
Relationship to child
Email
Phone
Address if different then child
Parent/Guardian #2
Relationship to child
Email
Phone
Address if different then student
Emergency contact if parents can't be reached.
Do you have a church you attend? If so, where?
How did you hear about Harvest Preschool?
Disclaimer: Registration fee must be submitted for your registration to be considered. When you hit "Apply" the tuition and fees page will allow you to pay your required registration fee.
Apply
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