Common use of Please check one Clause in Contracts

Please check one. Re-Enrollment New Registration How did you hear about our program? Alumni Family Friend/Family Website Facebook Other Last Name First Name Middle Name Name you would like your child to be called: Birth Date / / Sex Primary Home Language Parent/guardian primary home language Child’s Home address City State Zip List family members and pets your child lives with – include first names, relation and ages of siblings Are both parents at home? If no, which parent is present? General Comments: Home Address (include street, city, state, zip) Home Phone Number Cell Phone Number Employer Occupation Business Phone Number Email address (checked often) Best number to reach you at