Capital District Child Care Council
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Summer Camp Catalog Request
First and Last Name:
Email:
Phone:
Address:
Address 2:
City:
State:
Zip:
Age Of Child(ren):
Please use comma to separate ages
How did you hear about the Summer Camp Catalog:
Used the catalog last year
Newspaper
Radio
TV
Tri City Valley Cats Kids Club
Employee event
Community event fair or expo
Childs backpack
Other
I am eligible for assistance with paying for child care:
Yes
No
Would you like to receive information on financial aid:
Yes
No
I'm Not Sure
If you have any questions, please feel free to call the Child Care Council at 518 426-7181