Preschool Application
Panther Academy - Elizabethtown Independent Schools
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Email *
Primary Contact Email Address: *
Child's First Name: *
Child's Middle Name: *
Child's Last Name: *
Nickname? *
Name child goes by
Birthdate *
Please list the birthdate in the following format: MM/DD/YYYY
Date
Gender *
Race *
What is the child's race? Please check all that apply
Required
Language *
What language is most recently spoken in your home?
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