Little Elmers Registration Form April 17
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  • Little Elmers Childcare and Out of School Care

    Registration Form Registration fee: $25 for one child OR $40 per family

    E-transfer sent to littleelmerschildcaresociety@gmail.com 

    Applications will not be processed until payment is received

     

  • Date of Birth
     / /
  • Childcare Program Required:
  • Date of Birth
     / /
  • Childcare Program Required:
  • Date of Birth
     / /
  • Childcare Program Required:
  • Date of Birth
     / /
  • Childcare Program Required:
  • Date of birth
     / /
  • Format: (000) 000-0000.
  • Date of birth
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Tell us about your Child/Children:

  • Date
     / /
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  • Should be Empty: