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Growth Track Child Care Registration  
Growth Track Dates for the Month of September:
  • Sept 10th - classONE
  • Sept 17th - classTWO
  • Sept 24th - classTHREE/FOUR
Growth Track Child Care is open to ages to 3 years to 5th grade.
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Email *
Child(ren) Full Name(s):
You may list multiple children names. Only one form is required for multiple children.
 *
Parent(s) Name *
Parent Phone Number *
Child(s) Age(s) *
SNACK:
We offer snack to all children. Snacks varies from Goldfishes, Cheez-It's, and Fruit Snacks. Water is provided and always available. Please check yes or no to indicate if your child(ren) can have snack. If 'other' is selected, please specify. 
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Does your child(ren) have any dietary restrictions and/or allergies? If so, please specify. 
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DIAPERING & BATHROOM NEEDS:
 At this time we cannot provide assistance with diapering. Please make sure you provide your contact information so the teacher can contact you if your child requires a change of diaper.
 *
Please provide any additional information about your child(ren) that you feel is important for us to know.
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What days of Growth Track will you be needing childcare? *
Required
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