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H.A.A.H Early Child Care Center
Name
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E-mail
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Contact Number
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Child's Name
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Child's D.O.B
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Child's Name
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Child's D.O.B
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Child's Name
*
Child's D.O.B
*
Child's Age Group
Infant- 0-18mo.
Young Toddler- 18-30mo.
Old Toddler- 18-36mo.
Pre-School- 3 to 4 Years
Pre-K- 4 to 5 Years
Enrollment Type
Full Time
Part Time
Shift Type
1st Shift
3rd Shift
Payment Type
Private
Public
Starting Date
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Message
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Drivers License or State ID
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