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We view parents as partners in their children's early education. As a team, we will work together to see that each child will reach his or her fullest potential. Famlies are encouraged to participate in their child's early educational experiences first hand by sharing their time with their child in the classroom or during a special activity. Your child will feel so special.

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Child's Information
*Name: *Age:
*Birthdate:    
Parent's Information
*Parent #1 Name: Age:
Place of Employment : Phone:
*Contact Email:

Parent #2 Name:

Age:
Place of Employment : Phone:
Contact Email:
Services Needed
When are services needed?
What service is needed?  Daycare  Before School Care  After School Care  Summer Program

Comments or suggestions:

S & E Child Development Center, Inc does not exclude, deny, or otherwise discriminate against any person on the basis of race, color, national origin, disability, or age in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by S & E Child Development Center, Inc. directly or through a contractor or any other entity with which S & E Child Development Center, Inc. arranges to carry out its programs and activities.

This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulations Parts 80, 84, and 91.


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