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The Children's Center

Parent/Guardian Preferred Name or First Name*

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Parent/Guardian Last Name*

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Parent/Guardian Cell Phone*

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Parent/Guardian Home Phone

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Parent/Guardian Work Phone

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Parent/Guardian Mailing Address*

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Parent/Guardian City, State, Zipcode*

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Please check all that apply.*

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Please send me the Children's Center -- Summer Day Camp application packet for this summer (2021).

I am interested in childcare during the 2021-2022 school year for my James River student.

Please list the names and ages of the children you are interested in enrolling in the Children's Center. And, if there are other comments or questions you'd like to add, please put them here.

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The Children's Center Director, Valerie Daigle, will be in touch as soon as possible.

Thank you for your interest in The Children's Center at James River Day School.

Confirmation Email

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

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