Childcare Enrollment

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Email *

As we prepare to expand, please let us know which location your child(ren) will be attending:

Level Up Learning Center located at 526 Fairview Avenue will serve Infants to Age 4.

Level Up Learning Academy located at 811 Harris Street will serve children Ages 5 and up.

Please use the space below to indicate your answer.

Are you in need of childcare services during summer months (June and July)? *

Yes

Child's Full Name (First, Middle, Last) *

Child's DOB *

YYYY

Home Address *

Home/Cell Phone Number *

List any Special Needs your child may have. *

Does your child have any allergies? Please list, including food, if necessary.

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