Faith Preschool & Child Care

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Faith Preschool & Child Care 720 Marsh Road

Wilmington, DE 19803

302-764-8624

Prearranged Child Care Week Registration August 26 - August 29, 2019 Child's Name: Child's Address:

Home Phone:

Date of Birth:

Mother's Name:

Contact Number:

Father's Name:

Contact Number:

Check the appropriate box below: Full Day Childcare

$180.00

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Note: Faith Child Care will be closed Friday, August 30 , and Monday, September 2.

This form must be returned to the school office to ensure a spot for your child during the week of August 26 - August 29, 2019. Parent Signature:

Date:

For Office Use Only Registration Date

Payment Amount

Payment Date

Check #

Authorized Signature