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Pre-Enrollment

Submit a request for childcare at Livermore Learning Tree Preschool

Fill out this application form to request a spot for your child at Livermore Learning Tree Preschool.

Pre-Enrollment

Free Text

Child information

First name

Last name

Date of birth

Gender (optional)

Free Text

Child's primary address

Street address

Address line 2 (optional)

City

State / province

Country

ZIP / postal code (optional)

Free Text

Parent or guardian

First name

Last name

Relationship to child

Email

Retype email

Phone number (optional)

Free Text

Records

Allergy or medical details

Severity

Free Text

Enrollment information

Preferred start date

Preferred time of day (optional)

Mornings

Afternoons

Full days

New Option

After school

First available

Preferred weekly schedule (optional)

Monday

Tuesday

Wednesday

Thursday

Friday

Subsidy (optional)

Child is subsidized

Additional notes (optional)

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