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ENROLLMENT FORM Current Date//When Would you like your child to begin? Child's Name: LAST/FIRSTMIDDLE/Date of Biosocial Security #Childhood Illnesses? Any Learning Disabilities, or Medical Problems Please
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Bluegrass Academy Childcare Center is a facility providing childcare services for children.
The owner or operator of the Bluegrass Academy Childcare Center is required to file.
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The purpose of Bluegrass Academy Childcare Center is to provide a safe and nurturing environment for children while their parents are at work or unavailable.
Information such as facility name, address, staff qualifications, health and safety policies, and emergency procedures must be reported on the Bluegrass Academy Childcare Center form.
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