2020-2021 Vermilion Parish Early Childhood Enrollment Application
Date *
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Center/School *
Child's Full Name *
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Date of Birth *
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DD
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YYYY
Mother's Full Name
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Mother's Address
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Mother's Phone Number or Email Address
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Father's Full Name
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Father's Address
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Father's Phone Number or Email Address
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Guardian's Full Name (if someone other than mother/father)
Your answer
Guardian's Address
Your answer
Guardian's Phone Number or Email Address
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