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Get Hoir Form 2016-2024

K/lip/tongue No Full-time ( 4 hours per day) Toddler (18 months -3 years) School Age (eligible for kindergarten and older) (check all that apply) Yes (check all that apply) Arrival/Departure Classroom Activity Diaper Change Meals/Snacks Outdoor Play Nap time/ Rest Period Summary of Incident If Needed, Attach Additional Documentation Indoor Play/Group Activity/Free Play.

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