Applicant Information

Please enter the following information:

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* 1. Child's First Name:

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* 2. Child's Last Name:

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* 3. Child's date of birth:

Date
Your child's birthdate must be between
December 1, 2018 - January 31, 2020
to be eligible for the coming year
.

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* 4. Child's gender:

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* 5. Parent 1:

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* 6. Parent 2:

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* 7. Is a parent employed by Barnard College?

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* 8. If yes, please specify which department at Barnard College:

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* 9. Are you a returning Toddler Center family?

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* 10. If yes, please write sibling name(s) here:

T