Preschool Interest Form
Please fill out this form and click submit.
To join the list of individuals interested in Kihei Baptist Preschool.
Primary Parent's Information
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AB
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AK
AL
AP
AR
AS
AZ
BC
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DC
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GA
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HI
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ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
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MO
MP
MS
MT
NB
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NH
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QC
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SD
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UT
VA
VI
VT
WA
WI
WV
WY
YT
Spouse's first name
Spouse's email
Child's Information
Please enter each child's information for those you are looking to enroll in Preschool. When you have entered all children scroll to the bottom and click Submit.
Please select one option.
Yes dependents, fill out below
Child one's first name
*
Child one's gender
*
Please select one option.
Male
Female
Child one's date of Birth MM/DD/YYYY
*
Child one's requested start date MM/DD/YYYY
*
Child two's first name
Child two's gender
Please select one option.
Male
Female
Child two's date of Birth MM/DD/YYYY
Child two's requested start date MM/DD/YYYY
Submit
Description
Please fill out this form and click submit.
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