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Childcare Registration 2018

*CHILDCARE REGISTRATION IS NOW CLOSED*

Please contact Sharon Spencer at 336-723-1621 ext 236 or sks@1stpres.com with any questions. Registration closes on February 7, 2018.

Child's Name*  
Child's Birth Date*  
Parent/Guardian Name(s)*  
Email*  
Cell Phone*  
Any allergies/special needs?  
Emergency Contact Name & Phone