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LAKELAND CHILDREN S CENTER P. O. BOX 712 SHRUB OAK NEW YORK 10588 REGISTRATION FORM 2010-2011 Please return completed form to the above address with a non-refundable registration fee of 40 per family. 7 00-8 30 a.m. Tues Wed C. 2 30-4 30 p.m. Fri D. 2 30-6 00 p.m. Drop-in Enrollee Please send Tuition Assistance application available on a limited basis to eligible families. No application will be accepted unless completed and with the non-refundable registration fee. CHILD Name Date of Birth...

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