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Parent First name

Parent Last Name

Parent Email

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Which school year are you interested in enrolling your child(ren)? *

The Current School Year

The Upcoming School Year

Student 1 Full Name

Student 1 Date of Birth

Student 1 Entering Grade

Student 2 Full Name

Student 2 Date of Birth

Student 2 Entering Grade

Student 3 Full Name

Student 3 Date of Birth

Student 3 Entering Grade

For information about Ascension Lutheran Early Childhood Center, please check the box below, and someone from the ECC will contact you.

Yes, contact me about infant, toddler, & preschool programs

1600 E. Hillcrest Drive
Thousand Oaks, CA 91362

Ascension Lutheran Church

Ascension Early Childhood Center

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