TSELC Interest Form - Form - Temple Shalom

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TSELC Interest Form

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Thank you for your interest in the Temple Shalom Early Learning Center.
Please fill out the information below and we will be in touch soon.

* Parent/Guardian First Name

* Parent/Guardian Last Name

* Parent/Guardian Email

Parent/Guardian Cell Phone

* Child's First Name

* Chid's Last Name

* Chid's Birthdate

Fri, May 3 2024 25 Nisan 5784

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