Little Ruby - Registration | BK Interventions

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(Parent) First Name

(Parent) Last Name

(Child) First Name

(Child) Last Name

Email

Phone

Child's Birthday

What grade will your child be entering in the 2023-2024 school year? *

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

Does your child have an IEP or 504 Plan? *

Yes

No

I don't know what that is.

Address

I understand that a supply fee of $50 is included in my initial payment.

682-587-9082

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