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Springfield Sports Daycare
Open to the community for ages 2-4 years old. Students turning 5 before Dec 31st will qualify for full- day free EK.
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Parent/ Guardians Name
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Parent email
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Parent Phone Number
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Student Name
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Student Age 2-4 years old
2 years old
3 years old
4 years old
My child is 4 but will be 5 before December 31st, 2024
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Student date of birth
MM
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DD
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YYYY
Students Address
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Is your child potty trained? ( no accidents during daytime)
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No
Other:
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Is the child current with required immunizations?
Yes
No
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Does your child have any food or seasonal allergies?
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No
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Does your child have asthma, diabetes or any medical condition that we should have a care plan on-site to ensure safety?
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Does your child require any special accommodations?
Option 1
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