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Daycare Waiting List
Please fill out this form to join our waiting list for Greenfield First Baptist Church Little Disciples Daycare.
Please use 1 form for each child.
NOTE: this is for FULL-TIME daycare positions only
DATE OF OPENING TO BE DETERMINED
AGES 6 WEEKS-5YRS
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Child's Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Parent(s)/Guardians Name (s)
*
Your answer
Address
*
Your answer
Contact Number(s)
*
Your answer
Email Address
*
Your answer
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