Admission Form - Kidz Era Nursery

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Name of a Parent Or Guardian

First

Last

Email

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Name of a Child

First

Last

Date of birth

Gender

Girl
Boy

Multiple Choice

English medium (09:00 to 12:00 AM)
Gujarati medium (12:00 to 03:00 PM)