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Student Birthday
Month
Day
Year
Are You Approved for Virginia Child Care Subsidy Program?
Yes
No
On Waiting List
Transportation is Provided to Groups of 7 Youth or More in the same school, church, recenter or neighborhood. Does Your Child Need Transportation Monday - Friday?
Yes
No
Student Age Group
7 - 9 years old
10 - 12 years old
13 - 14 years old
15 - 17 years old
Can you confirm your child is available and ready to begin when the program starts in three weeks
Yes
No
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