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Application For Admission
Program
School Name
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HeadsUp! Child Development Center, Palo Alto
HeadsUp! Child Development Center, San Jose
Hacienda Child Development Center, Pleasanton
Emerson School, Palo Alto
Hacienda School, Pleasanton
Program
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Infants-Toddlers (0-2)
Twos (2-3)
Preschool (3-6)
Bilingual Chinese Preschool (3-6)
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After-School Chinese\
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Student
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Language 2
Please list your child's SECOND Language spoken
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