Fillable CHILD'S ADMISSION FORM FOR ENROLLMENT IN A FAMILY - DCF - dcf vermont

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CHILD'S ADMISSION FORM FOR ENROLLMENT IN A FAMILY CHILD CARE HOME (Use a separate form for each child) PARENTS: This information is required prior to enrollment of your child. Please assist your child care provider (registrant) by completing this form accurately. Date Enrolled: CHILD INFORMATION Child's Full Name: Birth date: Address: Phone: PARENT INFORMATION Parent/Guardian
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