Section 1 of 2
Pre-Enrollment Form
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Is the child in daycare today? If yes, which one?
Is the child in daycare today? If yes, which one?
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No
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Parent / Guardian
Parent / Guardian
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Language(s) Spoken to Child by Parent 1:
Language(s) Spoken to Child by Parent 1:
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Language(s) Spoken to Child by Parent 2:
Language(s) Spoken to Child by Parent 2:
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Language(s) Spoken by Third Member of the Household (Nanny, Grandparent, etc.)
Language(s) Spoken by Third Member of the Household (Nanny, Grandparent, etc.)
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School Days Option
School Days Option
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Morning Group 8:30 - 12:30
Afternoon Group, starts at 1:30pm (wish list)
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Number of Days
Number of Days
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3
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