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New Life CFDC Registration Form

Please complete the following fields and submit the form. You must turn in all required deposit amounts by the next business day in order to secure your child(ren)'s place.

Parent/Guardian First Name

Parent/Guardian Last Name

Phone

Email

Street Address

Apt or Suite

City

State

Zip

No. of Children

Children Information

(Please enter the age, first and last name of each child you are registering each on a separate line)

Before Care Needed?

After Care Needed?

Transportation Needed?

School Name

(Please enter the name and school for each child)