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Play 2 Learn - CCES
If you are interested in our Play 2 Learn program, please complete the following information. Please note that attendance is required and an adult must accompany the children.
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Email
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Your email
Email
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Your answer
Parent / Guardian #1 First Name
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Your answer
Parent / Guardian #1 Last Name
*
Your answer
Parent / Guardian #1 Phone Number
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Your answer
Parent / Guardian #1 Address
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Your answer
Parent / Guardian #2 First Name
Your answer
Parent / Guardian #2 Last Name
Your answer
Parent / Guardian #2 Email Address
Your answer
Parent / Guardian #2 Phone Number
Your answer
How many children will participate in our Play 2 Learn Program? They are offered to ages BIRTH to 5 Years old.
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Child #1 - First and Last Name
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Your answer
Child #1 Age on August 1st
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Your answer
Child #2 - First and Last Name
Your answer
Child #2 Age on August 1st
Your answer
Child #3 - First and Last Name
Your answer
Child #3 Age on August 1st
Your answer
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