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The 2009-2010 enrollment form collects information about a child including name, date of birth, age, address, home phone number, and alternate phone number. It also collects contact information for the child's parent/guardian including their name, two phone numbers, two work numbers, cell number, and email. Additionally, it requests an alternate contact and their relationship as well as their phone number, work number, and cell number. Finally, it asks for the classes the child will take including the day, time, and name of each class.

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35 views

E-Mail

The 2009-2010 enrollment form collects information about a child including name, date of birth, age, address, home phone number, and alternate phone number. It also collects contact information for the child's parent/guardian including their name, two phone numbers, two work numbers, cell number, and email. Additionally, it requests an alternate contact and their relationship as well as their phone number, work number, and cell number. Finally, it asks for the classes the child will take including the day, time, and name of each class.

Uploaded by

api-11375880
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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2009-2010 Enrollment Form

Child
Name___________________________________________________________________________________________________
Date of Birth ________________________________ Age__________

Address
_________________________________________________________________________________________________
______
_______________________________________________________________________________________
_________________

_________________________________________________________________________________________________
________
Home Phone # ( ) ____________________-________________________
Alternant Phone # ( ) __________________-_____________________

Parent /Guardian
________________________________________________________
____________________________________________________________
Phone# ( )__________-___________________ Phone# ( )____________-
___________________
Work# ( )__________-____________________ Work# ( )______________-
__________________
Cell# ( ) __________-____________________ Cell# ( )______________-
__________________
E-mail
________________________________________________________________________________
_______________________
Alternate Contact
_____________________________________________________________ Relationship
____________________________________
Phone# ( ) _________-____________
Work# ( ) __________- ____________
Cell# ( ) ___________ -____________

Classes
Day Time Class
______________ ________________
____________________________________________________________________
_____________ _______________
____________________________________________________________________
_____________ _______________
_____________________________________________________________________
______________ ________________
_____________________________________________________________________

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