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Registration form for children
School year
POLSKA SOBOTNIA SZKOŁA IM. KAZIMIERZA PUŁASKIEGO
Child's last name
Child's birth date
Child's first name
Parents / guardians first name
Parents / Guardians first name
Parents / Guardians last name
Cell phone number 1
Cell phone number 2 (optional)
Address (house number, street, city, zip code)
Contact in case of emergency (first and last name, phone number)
Child's fluency in Polish language (mark applicable)
Comments and information regarding child's health (i.e. alergies) (optional)
How would you like to help our school (select options below) (optional)
My contact information may be published on the school roster
Clicking on "Submitting form" will send it automatically to our mail address
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