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Please fill out the following form for each student applying to Mrs. Ackley’s Adventure School.

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Parent/Guardian’s First and Last Name

Parent/Guardian’s Email

Parent/Guardian’s Phone Number

Parent/Guardian’s Mailing Address

Child’s First and Last Name

Child’s Date of Birth (YYYY-MM-DD)

Why do you want your child to be considered for Mrs. Ackley’s Adventure School?

Do you have any specific concerns that you hope your child will overcome at Mrs. Ackley’s Adventure School?

Since Mrs. Ackley’s Adventure’s School is held on Tuesdays and Thursdays from 8:00AM – 2PM, what is your family’s plan for dropping off and picking up your child?

The total cost for your child’s Pre-K education will be $3,500 for one child. Please select your preferred payment plan below.

Contact Me

13220 NW County Road 4020

Blooming Grove, TX 76626

USA

mrsackleysadventureschool@gmail.com

(903) 229-3318

Thank you for your response. ✨

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