Evening Edvantage Childcare Interest Form
As part of the Evenening Edvantage cohort of students, WSCC can offer free childcare for school age children on Tuesday and Thursday nights between 5:30 and 9:00 PM at the Boys and Girls Club. Please complete this form by July 18th to indicate if you would have interest in the childcare portion of the program
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First Name *
Last Name *
Phone *
Email
Date of Birth
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DD
/
YYYY
Please list the names and ages of children you would be enrolling in the child care program
Which Evening Edvantage degree are you pursuing?
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