Ryves Preschool Application

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  Ryves Preschool Child Application
  Please complete the following information for your child.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Sex REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Race REQUIRED Caucasian Black or African American Hispanic or Latino American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Please fill out this field.
  
  Language Spoken at Home REQUIRED Please fill out this field. Please enter valid data.
  
  We require that all students be potty trained. Is your child potty trained? REQUIRED Yes No Please fill out this field.
  
  Are you currently residing at Bethany House or another shelter program? REQUIRED Yes No Please fill out this field.
  
  Parent/Guardian Contact
  
  Parent/Guardian Name REQUIRED Please fill out this field. Please enter valid data.
  
  Home/Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian Name REQUIRED Please fill out this field. Please enter valid data.
  
  Home/Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
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Ryves Preschool Application

Ryves Preschool Child Application

Parent/Guardian Contact