FALL Registration Opens:  DEC. 1, 2011
FALL Classes Held:  JAN. 21, 2012

Eligible Child

Note: Please complete a separate registration for each eligible child. Two parents / guardians/grandparent may attend one READY! class in support of each child. One set of materials per child.

Child's Full Name *
Birthdate: *
Child's Address: *
City: *
State: *
Zip: *
Family Phone: *
Family email address:
Name of Parent(s) / Guardian(s) attending: *
Select year child starts kindergarten: *
Names and ages of children needing childcare: *
Is this the first time you have registered for this program? *
 Yes
 No
Questions/comments:
Please confirm the following eligibility requirements: *
 I am the parent or legal guardian of this child.
 My child has NOT started kindergarten.
 My child resides within the boundaries of Lake Pend Oreille School District.
Please type the letters and numbers shown in the image.
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