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Kidz Kastle Initial Application
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Child Name (1)
*
Your answer
Child Birthday (1)
*
MM
/
DD
/
YYYY
Child Name (2)
Your answer
Child Birthday (2)
MM
/
DD
/
YYYY
Child Name (3)
Your answer
Child Birthday (3)
MM
/
DD
/
YYYY
Days & Hours Needed
*
Your answer
Will you be on the CCAP program(daycare assisstance)?
*
Yes
No
Maybe
Please provide your phone number or email so we can contact you!
*
Your answer
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