Registration Page | Serendipity MAIN

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learning through play

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Register Your Child Here!

Parents/Guardian First name*

Parents/Guardian Last name*

Childs Full Name*

Childs Birthday*

Home Phone #*

Cell Phone #

Email Address

Parents/Guardian Address

Country/Region*

Address*

City*

Zip / Postal code*

Is your child's address the same as yours?

Yes

No

If no, address of child here

Expected Start Date*

Year

Month

Day

Which class are you registering your child for?*

Meerkat 3/4 M/W

Chickadees 3 T/TH

Lemurs 4 M/W/F

Bluebird 4 T/TH

Childs Health Care #

Dr Name & Number

Email: serendipityokotoks@gmail.com

Telephone: 403-852-0788

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