Visitation Request Form
Thank you for your interest in Happy Kids! Please fill out the following form to request a school visit. We will contact you when the next appointment is available. 
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Child's Name *
Date of Birth *
MM
/
DD
/
YYYY
Parent's Name *
Parent's Phone *
Parent's email
Address
Referred by
School Previously Attended
Applying for *
Semester *
Questions or Comments (optional)
Submit
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