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WCEU Childcare Registration
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Parent/Guardian email address
*
Parent/Guardian Phone number
*
Child's First Name
*
Child's Last Name
*
Child's Age
*
Child's spoken languages
*
Does your child have any Special Needs we need to be aware of?
*
No
Yes
Special Needs
*
Does your child have any Allergies (food and non-food) which need to be aware of?
*
No
Yes
Allergies
*
I agree to follow the
childcare rules
.
Submit
