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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
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