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24/25 MEEE Pre-K 3 Pre-Registration

Student Information

Legal First Name*

Answer Required

Legal Last Name*

Answer Required

Nickname

Answer Required

Date of Birth (must be 3 by 9/30/24*

Answer Required

Address

Street Address*

Answer Required

Primary Phone Number*

Number Required

Parent 1 Information

First Name*

Answer Required

Last Name*

Answer Required

Email*

Answer Required

Mobile Phone*

Number Required

Parent 2 Information

First Name

Answer Required

Last Name

Answer Required

Question

Answer Required

Mobile Phone

Number Required

Confirmation Email

Email Required