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YPLC Interest Form
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Parent First and Last Name
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Your answer
Parent Phone Number
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Your answer
Parent Email
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Your answer
Are you paying on your own or using the Colorado Child Care Assistance Program (CCCAP)?
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Private Pay
CCCAP
When are you hoping to have care by?
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Your answer
How did you hear about us?
Google
Facebook
Referral
Colorado Shines Website
CCAP
Live in the Neighborhood
Been To YPLC Previously
Larimer County (website, representative, etc.)
Other:
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