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Please only list the parents/guardians that live in the home only. Please do not include a secondary adult who is not a biological parent or legal step-parent.

Are there other adults in the household?

Add Another Adult
Please only list the number of parents/guardians that live in the home only. Please list biological parent contact information if not in the household under emergency contact info.
When entering language proficiency, please define how well your child speaks and understands English and home language if different than English.
- Your Address - Available Locations
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Do you want to apply now for another child in your family?

Add Another Applicant

Are there other children in the family?

Add a Sibling
Required information is missing, see above.