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Child's Name
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Child's First:
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Child's Last:
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Child's Date of Birth:
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What location is your child enrolling at?:
ANTHEM (41117 N. Daisy Mountain Rd., Anthem, AZ 85086)
CHANDLER (3700 W. Ray Rd. Chandler, AZ 85224)
EL MIRAGE (14085 N. Dysart Rd., El Mirage, AZ 85335)
GLENDALE (21468 N. 75th Ave. Glendale, AZ 85308)
NORTH PHOENIX (3300 E. Union Hills Dr., Phoenix, AZ 85050)
PARADISE VALLEY (4041 E. Cactus Rd., Phoenix, AZ 85028)
SOUTH PHOENIX (3920 E. Southern, Phoenix, AZ. 85040)
SURPRISE (16303 W Bell Rd., Surprise, AZ 85374)
TEMPE (2121 E. Broadway, Tempe, AZ 85282)
Parent/Guardian 1 Name
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