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Parent Portal
Childcare
About
- Philosophy
Contact Us

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Admissions Form

Students Information

This application is for: *

Reenrollment
New enrollment

Students Name: *

First

Middle

Last

Students Sex: *

Male
Female

Student's Birthday: *

Presumptive grade-level for 2023-2024 school year: *

Has this child been baptized: *

Yes
No

Date baptized:

Where was baptism administered? (Please give denomination of church/minister)

Has this child had any specialized academic or psychological testing: *

Yes
No

Please describe any specialized academic or psychological testing:

Are there any specific concerns allergies, custody issues: *

Yes
No

Please describe any allergies, custody issues:

Parent 1 Information

Parent 1 Roll: *

Father
Mother

Parent 1 Name: *

First

Last

Parent 1 Email: *

Email

Confirm Email

Parent 1 Mobile Phone: *

Parent 1 Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Parent 2 Information

Parent 2 Roll:

Father
Mother

Parent 2 Name:

First

Last

Parent 2 Email:

Email

Confirm Email

Parent 2 Mobile Phone:

Parent 2 Address:

Address Line 1

Address Line 2

City

State

Zip Code

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Email *

307-635-2802
[email protected]
1111 E 22nd St. Cheyenne, WY 82001

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