To register your pre-school child, complete this application and mail with a $25.00 non-refundable registration fee. Classes are assigned on a first come first serve basis. Checks are made payable to KINDER KLASS. We will begin accepting applications on Feb 11 for families who are currently enrolled in Kinder Klass and for the general public Feb 25.
Applications for all classes are mailed to:
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| Phone: 610-562-3808 |
| Child's Name:
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Nickname:
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| Address:
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Birth Date:
Sex:
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| Home Phone Number: | Emergency Phone Number: |
| Father's Name: | Mother's Name: |
| Father's Business Phone: | Mother's Business Phone: |
| Physicians Name, Address and Phone Number:
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| Is your child right or left handed? | |
| Limitations or handicaps:
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| Allergies:
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| Special Interests:
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| Siblings names and ages:
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| If you have a preference, please indicate the
class below: All requests will be honored if possible:
Monday -Wednesday A.M. _____ Tuesday -
Thursday A.M. _____ Tuesday - Thursday P.M. _____ |
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