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2024-25 Netivot Shalom Preschool Application

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All fields are required. Write N/A if not applicable. 
Child's Information
Parent/Guardian #1 Information
Parent/Guardian #2 Information
General Information
Schedule Choices
*Program pending CCLD approval
Extended Care Choices

*Only available for children ages 24 months and older.
Health Questions
NOTE: ShulCloud payments made by ECheck (No Service Fee) or pay with a Credit Card (3% Fee).
Sat, May 4 2024 26 Nisan 5784