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Childcare Needs: Please clearly indicate the number of children, each child’s name, and the age(s) of each child that will be attending childcare.

Transportation Request: All passengers must wear a seat belt and/or be harnessed in an age appropriate car seat or booster at all times when riding in an agency vehicle! It is imperative to fit any children with the correct harnessing system, so the weight, height, and age of each child is required to determine the appropriate seat/booster. If a parent has an approved seat/booster for their child, we ask that they utilize their own to ensure that those without car seats/boosters will be accommodated as there are only a limited number of seats available. If a parent will provide the seat/booster please indicate in the last column. All information must be present for children to ride in agency vehicles.