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LITTLE STAR KINDERGARTEN
ENROLLMENT 2019
Mother's Namefull name
Occupation & Company
Father's Namefull name
Occupation & Company
Child's Namefull name
Child's Date of Birth
Childs Place of Birth
Child's Citizenship
Current Address
Language spoken at home
Current Phone
Permanent Address
Permanent Phone
Email AddressMother
Email AddressFather
Other Contacts(please state which):

Does your child have any allergies / require regular medication / have a specific diet, or have any other medical or health related requirements?

If yes, please provide further information:
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Has your child previously attended a kindergarten or playschool?

If so, when and where?
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How did you find out about the “Little star kindergarten”?
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Today's Date
I hearby acknowledge my acceptance of the terms and conditions of enrolloment at Croatian American Society.
Accept
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