Growing Start Registration (WFAC)

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Class Start Date:
Infant: Monday, September 9 (9:00-10:00)
Toddler: Wednesday, September 11 (9:00-10:30)
Maxwell: Wednesday, September 11 (1:30-3:00)
Pre-K: Thursday, September 12 (9:00-11:00)

Class Addresses:
Williams: 602 Twelfth Street, Williams
Maxwell: 34 Oak Street, Maxwell (Maxwell Branch Library)

Contact us at (530) 473-5400 or ymoreno@ccoe.net

Email *

Today's Date *

YYYY

1 Child's Full Name *

1 Child's Date of Birth *

YYYY

Child's Ethnicity *

Hispanic or Latino

White

Black or African American

American Indian

Pacific Islander

Asian

Required

Child's Primary Language

English

Spanish

Other:

Play Group Requested *

Infant (ages 0-24 months)

Toddler (ages 25-41 months)

Pre-K (ages 42 months to 6 years)

Maxwell All Age (ages 0-6)

Required

Parent/Guardian's Name *

Address *

Phone Number (1) *

Phone Number (2)

Parent's Ethnicity *

Hispanic or Latino

White

Black or African American

American Indian

Pacific Islander

Asian

Required

Parent's Primary Language *

English

Spanish

Other:

Required

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