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Apply Now

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Ready To Apply?

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East 120th Street (Between 1st and Pleasant ave) New York, NY 10035

APPLICATION: ONE-TIME FEE: $ 150.00
Pay via :
VENMO : @PEQUENINESNY
ZELLE & PAYPAL: lissarette@gmail.com

Guardian 1:
Guardian 2:
Does your child speak Spanish?
Do parents speak Spanish?

In case of Emergency name of relative or friend who can be called if we are unable to reach you:

SEPTEMBER - JUNE
Do you authorize to administer all necessary? Emergency and First Aid care for your child?
New York Department of Health requires that all children are vaccinated for school entrance. Do you vaccinate your child?

I, hereby, authorize Pequenines to provide care for my child.

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I declare to the best of my knowledge that all the statements made in this application are true.

Thanks for applying.

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