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Child Information
Please tell us all about your child. If you have more than one child you are wanting to enroll, please complete a form for each child.
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First and Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Does any of the following apply to your child?
*
Environmental allergies
Food allergies
Dietary restrictions
Developmental concerns
Unable to be photographed and/or posted to social media
Custody concerns
None of the above
Required
Is your child currently enrolled in another childcare setting?
*
Yes
No
Please tell us anything else you would like for us to know about your child.
Your answer
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