Nido Form of Interest
Children must be 6 months old to 18 months old to attend this program. Children must be at least 6 months old before beginning. Families are able to hold their spot until their child is of age. 
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E-mail *
Phone Number *
Child's Full Name *
Parents' Full Name *
Date of Birth *
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Schedule
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If choosing 3 Day Program, please indicate desired days
Drop Off Time
Horário
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Pick Up Time
Horário
:
Will your child require before care? 7:00 am - 9:00 am *
Additional Comments
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