Little Rubies Learning Academy
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Parent/Guardian Name
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First
Last
Email
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Enter Email
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Phone
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Programs of Interest
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Please note part-time enrollment is only offered for our preschool programs.
Infant Program
Toddler Program
Preschool Program
School Age Program
Child's Name
*
Birthday or Due Date
*
MM slash DD slash YYYY
Child #2's Name
Child #2's Birthday or Due Date
MM slash DD slash YYYY
Child #3's Name
Child #3's Birthday or Due Date
MM slash DD slash YYYY
Desired Start Date
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We accept funding by ELRC. Would you like more information?
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How did you hear about us?
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Notes
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