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Child Central Station, LLC Summer 2024 Waiting List
At this time, it looks like our summer program will be full! However, in the event that space becomes available we will use this form to contact interested families.
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* Indicates required question
Name (Person filling out the form)
*
Your answer
Telephone Number
*
Your answer
Email
*
Your answer
Name of Child (If you have more than 1 child please fill this form out for each child)
*
Your answer
Grade child is in process of completing
*
Jr K
K
1
2
3
4
5
What are your child care needs?
*
Full Day every week
Only mornings every week
Only afternoons every week
will vary based on summer school
will change week to week
Do not need care on this day
Monday
Tuesday
Wednesday
Thursday
Friday
Full Day every week
Only mornings every week
Only afternoons every week
will vary based on summer school
will change week to week
Do not need care on this day
Monday
Tuesday
Wednesday
Thursday
Friday
Approximately what time will you drop your child off?
*
Your answer
Approximately what time will you pick your child up?
*
Your answer
Is there anything else we need to know about your child care needs for the summer? (For example- we only need a couple of weeks, This schedule is every other week...)
*
Your answer
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