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Parent/Guardian first name

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Parent/Guardian email

Parent/Guardian phone

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Child 1

What grade level is your child in this year (2019/2020)?
What grade level will your child(ren) be in next year (2020/2021)?

Child 2

What grade level is your child in this year (2019/2020)?
What grade level will your child(ren) be in next year (2020/2021)?

Child 3

What grade level is your child in this year (2019/2020)?
What grade level will your child(ren) be in next year (2020/2021)?

Child 4

What grade level is your child in this year (2019/2020)?
What grade level will your child(ren) be in next year (2020/2021)?
How did you hear about Creative Inspiration Journey School (CIJS)?
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