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Forms — Irvington/Alameda Pre K Irvington/Alameda Pre K
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Custodial Parent's Name
Relationship to Child
Child First Name
Child Last Name
Date Of Birth (Month, date, year)
Street Address Line 2
State / Province
Postal / Zip Code
Age as of August 25th, 2018
Expected Date of Entry (Month, Day, Year)
What school will your child attend for Kindergarten?
I am interested in
2018-19 Full Day Pre-K (8:30 AM-2:45/3 PM)
2019-20 Full Day Pre-K (8:30 AM-2:45/3 PM)
There is a non-refundable registration fee equal to one month’s tuition due with registration form.
Do not include payment with this Intake form.
Please inform Alameda/Beaumont of any changes in the information on this form.
Please note that this form is kept for one year and then discarded.
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Irvington Extended Day Program