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* 1. What is the name of your child?

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* 2. What is the age of your child?

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* 3. Are you considered essential personnel at your current place of employment?
(this does not effect enrollment, we are enrolling all children at this time)

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* 4. Do you plan to return to the center within the next two weeks?
(if you answer yes to this question you can answer N/A on the remaining questions)

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* 5. Do you plan to suspend your enrollment until after April 30th, through the suggested social distancing?

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* 6. If you do not plan to return for the rest of month do you wish to pay the holding fee to reserve your space to return after the social distancing release?

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* 7. Do you wish to withdraw your child from our program a this time and return at a later date?
(this means your child's space will be offered to someone on our waiting list)

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