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Wayne Y ECLC November Open House Registration
Please complete this brief 2 minute survey.
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Parent Name
*
Your answer
Parent Cell Phone Number
*
Your answer
Parent Email
*
Your answer
How did you hear about the Wayne Y ECLC?
*
Ad in newspaper
Social media
Community or workplace fair
Word of mouth
Online search
Other:
Parent's Place of Employment
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Your answer
Town
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Your answer
Please select the program choice you are interested in.
*
5 Full Day Program
3 Full Day
5 Half Day
ABC Summer Camp
Kindergarten Enrichment
Not interested at this time
Required
Are you aware that the YMCA is open to all and financial assistance is made available to all families?
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