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Year Entering Kindergarten
None
  • 2018
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Child’s Birth Date

Month
Month
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Day
Day
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Year
Year
  • 2017
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  • 2012
Do you have a computer?
None
  • Yes
  • No
Do you have internet?
NONE
  • Yes
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Primary Language?
None
  • English
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How did you hear about us?
None
  • Former Participant
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  • District or Pilot Liaison
  • Church
  • Community Organizations and Services
  • Other

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