Childcare Enrollment 
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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 3.

Level Up Learning Academy located at 811 Harris Street will serve children Ages 4 and up. 

Please use the space below to indicate your answer.
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Are you in need of childcare services during summer months (June and July)? *
Child's Full Name (First, Middle, Last) *
Child's DOB *
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DD
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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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