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Kindergarten – Grade 6 Family Social

August 28 @ 1:00 pm - 3:00 pm

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Join 40 others!

Adult Attendee (1): First Name:*

Adult Attendee (1): Last Name:*

Email Attendee 1:*

Phone Attendee 1:*

Adult Attendee (2): First Name:

Adult Attendee (2): Last Name:

Child Attendee (1): First Name:

Child Attendee (1): Last Name:

Child Attendee (1): Ages (Years, Months):

Child Attendee (2): First Name:

Child Attendee (2): Last Name:

Child Attendee (2): Ages (Years, Months):

Child Attendee (3): First Name:

Child Attendee (3): Last Name:

Child Attendee (3): Ages (Years, Months):

Child Attendee (4): First Name:

Child Attendee (4): Last Name:

Child Attendee (4): Ages (Years, Months):

Total # of Guests:*

Programs of Interest (Please Select All That Apply):*

Toddler | Primary: 18 Months - 6 Years Old

Elementary: Kindergarten - Grade 6

After School Extended Day

Summer Fun

Names of Current School(s)/Daycare(s) (If Applicable):

Desired Start Date at Jackson Walnut Park School:*

September 2025

January 2025

As soon as possible

Other

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