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For a nurturing, caring, and safe educational environment that promotes holistic growth and learning, enroll your child now at Rising Star Preschool!

To enroll, kindly fill out the form below.

Child's Full Name(Required)

Birth Date(Required)

Age(Required)

Sex(Required)

Male

Female

Parent/Guardian's Name(Required)

Address(Required)

Street Address City State ZIP Code

Email(Required)

Phone Number(Required)

Name(Required)

Address(Required)

Name of Child's Doctor(Required)

Phone Number(Required)

Hospital Preference(Required)

Please list down any allergies or dietary restrictions of the child(Required)

Additional Information

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Name

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