ChildTax, LLC Course & State Registry Data Form
Professional Development Courses
Name
First Name
Last Name
E-Mail
Cell Phone Number
State Registry ID Number (Michigan Registry 5 or 6 Digits)
Title or Position in Child Care
Director/Teacher/Floater/Substitute/Support Staff
Child Care Name and Information
Name
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Service Details
Business Services You Are Interested In
ECE & Child Care Business Courses
Bookkeeping Services
Child Development Associate(CDA)
Income Tax Preparation
Payroll Services
Other
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