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Georgia Pre-K Action Form

Location*
Child's Name*
First Last
Child's Middle Initial
Contact Info
Mother's Name
First Last
Mother's Phone Number
Mother's Email
Father's Name
First Last
Father's Phone Number
Father's Email
Program
Start Date*
- 8/10/2020
Program*
- Pre-K Only 8am-2:30pm
- Pre-K Extended
Registration Fee*
- $0 - Pre-K Only 8am-2:30pm
- $100 - Pre-K Extended
Weekly Rate*
- $20 - Meal Fee - Pre-K Only
- $100 - Pre-K Extended
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