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Child Date of Birth
Is the child in an early learning or home based care program? If so, please list.
Cell Phone Number
Which of the following timeframes would work best for you to attend weekly sessions?
Tuesdays, 10:00 am -11:00 am (January 23rd-May 1st 2018)
Mondays, 4:00 pm - 5:00 pm (January 22nd-April 30th 2018)
Will you need childcare?
How did you hear about us?
Turn the Page KC Website
Early Childhood Program
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