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Apply for Child Care Today!

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 When you are done filling out the google form below, click the payment button and submit the $15 application fee.

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You may also download and print our application at home.  Scan and email the form back to us,

or mail it with a check to:

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Care 4 Me, Inc.

PO Box 609

Glenham, NY 12527

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We will contact you to let you know when your child has been added to our waiting list.

Payment

Child Application

Google Doc

Child Application

Printable Version

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