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Parent/Guardian contact info:
First Name
Last Name
Phone
E-mail
Address
Child details:
Child's First Name
Child's Last Name
Child's Gender
Boy
Girl
Not Specified
Child's Birthday
Child's First Name
Child's Last Name
Child's Gender
Boy
Girl
Not Specified
Child's Birthday
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Enrollment details:
Preferred days of care
Are these days flexible?
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Yes
No
Intended drop-off time
Intended pick-up time
Location
Eco Early Academy (48411 Jefferson Chesterfield, MI 48047)
34354 Harper Avenue, Clinton Township, MI 48035
Intended start date
Additional Information
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