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Curriculum
Infant Care
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Parent Info:
First Name*:
Last Name*:
Student Info:
First Name*:
Last Name*:
Birthday:
Contact Information:
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Phone Number*:
Has he/she been in a child care facility before?
Yes
No
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Full time Monday to Friday
Part Time 3 days Mondays, Wednesdays and Fridays
2 days Tuesdays and Thursdays
Notes & Observations: (optional)