Rio Women Childcare Paid Registration
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Child
First Name
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Child
Last Name
* Parent's Name
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Child
Email
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Child
Mobile Phone
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Child
Birth Date
* Childcare Rooms
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0-24 months [6 left]
2 year olds [8 left]
3 year olds [8 left]
4 year olds [7 left]
K-5th grade [8 left]
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Child
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