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Student Registration Form

You are registering for:
Messiah Lutheran Preschool
Spring 2018- Session #1

Dates: Mondays  2/21, 2/28, 3/7, 3/14, 3/21, 3/28
                           4/11, 4/18, 4/25, 5/2, 5/9, 5/16

Price: $144.00

After submitting, you will be redirected to a PayPal payment screen to complete your registration.

 
Student Name:
School:
Program Day:
 Gender:
Date of Birth:
Parent/Guardian Name:
 Preschool Class:
 Address:  
 City:  
 Zip Code:  
 Phone Number:  
 Email Address:  
Notes/Additional Information:  
 I have read the policies  




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