Child Information
First Name Last Name
Date of Birth
(MM/DD/YY)
Phone Number
Address Closest Intersection
Parent Information
First Name Last Name
Address Home Phone
Cell Phone Work Phone
E-mail  

Additional Information
In district to Palmerston School
In district to Palmerston School for French Immersion

Program Requested Nursery Preschool JK/SK School Age

Start Date

Comments

The Palmerston school district is from Bloor Street to Dupont Street and from Christie Street to Albany Avenue

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