Preschool Registration Form Page 2

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FOR OFFICE USE ONLY:
RESIDENT:
NON-RESIDENT:
FALL SESSION PAYMENT
Proof of Residency:
Receipt #: __________________
PRESCHOOL
Cash: ______________________
_____ Birth Certificate
_____ Driver’s Lic.
_____ Utility Bill
Check: _____________________
_____ Immunization Record
_____ Tax Bill
_____ Check Imprint
Date: ______________________
_____ Health Form
_____ Other ____________________
Initials: ____________________
Verification Form
WINTER SESSION PAYMENT
Receipt #: __________________
Cash: ______________________
Check: _____________________
Date: ______________________
Initials: ____________________
SPRING SESSION PAYMENT
Receipt #: __________________
Cash: ______________________
Check: _____________________
Date: ______________________
Initials: ____________________

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