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Enrollment at the Montana Preschool is on a yearly basis. The Montana Preschool’s year starts in September and ends in August 31st.

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Last Name: *

Child’s Name: *

Child’s Date of Birth: *

Child’s age (as of today’s date):

Allergies: *

Parent 1 Name: *

Parent 1 Cell Phone: *

Parent 1 email: *

Parent 2 Name: *

Parent 2 Cell Phone: *

Parent 2 email: *

Home Address: *

Home Phone: *

I am interested in the following: *

Number of days/week: *

Desired Enrollment Start Date:

Notes:

Please add my child to the waiting list for next September (Free of charge)

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