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SHINE ON FAMILY DAYCARE ENROLLMENT INQUIRY
First Name
Last Name
Email
Phone
How may children do you need care for?
Age of your growing one(s):
Which days do you need childcare?
Monday
Tuesday
Wednesday
Thursday
Friday
Does your child have a food allergy?
*
Yes (explain below)
No
Please clearly explain food allergies,
Check if your child/children have a special diet?
Special Diet Details
Send
Thanks for submitting!
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