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New Family Application
Student Information
Student Full Name
Birthday
Gender
Male
Female
Class Level - due to limited availability, select all options you would be interested in
Ones - 1 day - Wednesday
Ones - 2 days - Tues & Thurs
Ones - 3 days - Tues, Wed, Thurs
Twos - 1 day - Wednesday
Twos - 2 days - Tues & Thurs
Twos - 3 days - Tues, Wed, Thurs
Threes - Tues, Wed, Thurs
Pre-K - Tues, Wed, Thurs
Parent/Guardian Information
Mother Full Name
Mother Email Address
Mother Phone Number
Father Full Name
Father Email Address
Father Phone Number
Are one or both parents members of Lynwood Baptist Church?
Yes
No
Submit Application
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