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2019/2020 SPACE Childcare Interest Form
Complete one form per family
Please fill out this interest form to be put on the waiting list. We will contact you if a spot opens up.
What is the best way to contact you
Childcare is for Fairfield-Suisun Adult School Students. It is provided at an extremely low cost to our students only while they are in class at the Adult School
What programs do you intend to enroll in 2019/2020 school year. Check all that apply
What time of day/night will you be attending classes? (Childcare is not available on Saturdays) Check all that apply.
How many children do you intend to have in childcare
What are your children's ages? Check all that apply.
If there are any questions or comments you would like to include, please do that here. Thank you!!
Please feel free to contact Cheryl Stumbaugh at email@example.com if you have any questions.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Fairfield-Suisun Unified School District.