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GiGi and Me ABC 123 LLC
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Preschool Form
Child's Information
Full Name
*
Birthday
*
Month
Month
Day
Year
Gender
*
Special Needs or Requirements
*
Allergies or Medical Conditions
*
Yes
No
Previous Childcare Experience
*
Yes
No
Parent Information
Full Name
*
Relationship to Child
*
Email
*
Phone
*
Home Address
Emergency Contact Name & Phone Number
*
Enrollment Details
Requested Start Date
*
Preferred Schedule
Full-time
Morning
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Afternoon
Days Needed
Monday
Tuesday
Wednesday
Thursday
Friday
Pick-up/Drop-off Instructions
GiGi and Me ABC 123
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