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English and Spanish Center: 952-681-7372
Russian Center: 952-930-2168

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Application

Please fill out this application to start the enrollment process.

Participant's Name *

Participant's Phone Number

Participant's Street Address *

Participant's City *

Participant's State

Participant's Zip *

Birthday *

Gender *

Special Health Considerations

Program Selection

English
Spanish
Russian

Days Interested in Attending Day Care

Monday
Tuesday
Wednesday
Thursday
Friday

Requested Start Date

Name of Person Completing the Application (Contact Person) *

Relationship to Participant *

Contact Phone Number *

Contact Email Address

Comments/Additional Information

Website

English and Spanish Programs

5656 Lincoln Drive
Edina, MN
952-681-7372

Russian Program

10937 Bren Rd E
Minnetonka, MN
952-930-2168

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