Procare

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Bright Beginnings Early Learning Center

2700 McKinley Avenue , Columbus, IN, 47201

1

Student info

2

Parent info

3

Authorized Pickup Info

4

Policy & Waiver

5

Review

Student #1

First Name

Last Name

Date of Birth

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If your child is not yet born, what is the estimated date of birth?

Todays date

Select Date