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Early Head Start Registration Form 2025- 2026
Please fill out this form to register for the Early Head Start Program at C.A.D.R.E. in LaSalle!
This program runs Tuesday - Thursday from 9:30-11:45AM, and Wednesday and Thursday afternoons from 12 - 2PM. Participants should expect a one week delay before participating. To see other CADRE Programs please visit https://lecadre.ca/
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Email *
Your email
Which session are you registering for? Select all that apply.
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Required
Please choose the days and times you would like to attend that best suit the age of your child (mark all you would like) *
Required
Child's first and last name *
Child's birthday *
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Do you have more than one child that will participate in the program? If so, please list the names and ages of the other children participating.
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Participating parent's first and last name

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Other parent/guardian first and last name (if applicable)

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Participating parent's telephone number
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Address with postal code*
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Does your child have any allergies or health concerns we should be aware of?

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Is there anything else you would like us to know about your or your child?
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Emergency Contact first and last name

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Emergency Contact relationship to child
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Emergency Contact phone number

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C.A.D.R.E LaSalle Photo Authorization (Please choose one) *
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