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Please Fill Out This Form

Register your child into Preschool Club by filling out the form below.

Please enter YOUR information below

First Name *

Last Name *

Email *

Phone *

(Compliance) Text Checkbox *

By checking this box I agree to receive email and SMS text communications and promotions from Distinguished Minds Virtual Preschool approximately 4 messages a month. SMS text and data rates may apply. I may opt out at any time by replying STOP. View Terms and Conditions at the bottom of this page.

Address

City

State

Postal code

Country

Child's Full Name *

Child's Date of Birth *

Child's Gender *

Male

Female

To keep our online preschool running smoothly, please agree to all of these policies:

I understand that after signing up, I will receive an email within 24 hours (but usually immediately) with access to the Preschool Club member's area, and I will find resources there on how Preschool Club runs. I understand that I can cancel anytime.

Parent Agreement *

I agree to all of the policies listed on this form.

Parent Signature

Clear

Date Signed