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Census - Children Under 5-years-old
Census to identify children that reside in the Gananda CSD under school age that are NOT currently enrolled in a Gananda CSD program.
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* Indicates required question
Email
*
Your email
Name of Parent Guardian (Last Name, First Name):
*
Your answer
Primary Address
*
Your answer
Name of Parent Guardian (Last Name, First Name):
Your answer
Address (If different than above.)
Your answer
Child #1 Name (Last Name, First Name)
*
Your answer
Child #1 Date of Birth
*
MM
/
DD
/
YYYY
Child #2 Name (Last Name, First Name)
Your answer
Child #2 Date of Birth
MM
/
DD
/
YYYY
Child #3 Name (Last Name, First Name)
Your answer
Child #3 Date of Birth
MM
/
DD
/
YYYY
Child #4 Name (Last Name, First Name)
Your answer
Child #4 Date of Birth
MM
/
DD
/
YYYY
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