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Grade	--- Select --- Infant Toddler Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Other
Enroll in:	Early Learning Center After School Program
Child's Name:
Date of Birth	(mm/dd/yy)
Grade	--- Select --- Infant Toddler Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Other
Enroll in:	Early Learning Center After School Program
Child's Name:
Date of Birth	(mm/dd/yy)
Grade	--- Select --- Infant Toddler Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Other
Enroll in:	Early Learning Center After School Program
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