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Enrollment Inquiry
We thank you for your interest in joining the EAFEC Family and look forward to being of service. Please complete the form in its entirety so we can follow up with you ASAP.
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Eighteenth Avenue Family Enrichment Center
Today's Date
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Guardian's Full Name
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Guardian's Email Address
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Guardian's Phone Number
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Child's full name
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Child's Date of Birth
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Child's Age
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Expected Start Date
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Please Choose one of the following:
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Childcare Certificate Program Participant
Self-Pay Family
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