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Child's Name

Child's Date of Birth

Gender

Male

Female

Father's Name:

Mother's Name:

Email Address:

Mobile Number:

Address Line 1 :

Address Line 2 :

Developing Roots (Playgroup)

Emerging Wings (Nursery)

Ready to Fly 1 (Junior KG)

Ready to Fly 2 (Senior KG)

State

City

ZIP

Admission Type

2 Days a Week

5 Days a week