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RCC INQUIRY FORM
Private Pay/DHS Only
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Today's Date:
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Email Address:
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Your answer
Contact Number:
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Parent Name:
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Your answer
Child Name:
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Your answer
Child Birthdate:
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Child Age:
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What services are needed?
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Preschool 2 1/2 yrs-5 yrs (8hrs)
Before & After Care
Latch Key
Summer Camp (Starts in late June)
Required
How would your Tuition be paid?
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DHS/CDC
Private Pay(out-of-pocket)
Required
Would you like to be added to our waitlist?
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Yes
No
Required
Documents Needed For Enrollment
-Parent ID
- Birth Certificate or Proof of Birth
-Current Shot Record( must be updated) or Waiver Form
-Current Health Appraisal/Physical/Wellness Check
-$65 Non-Refundable Registration Fee
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Add questions or comments.
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