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Child Care

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3

Child Name

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Child Name

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Date Of Birth

Child Name

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Date Of Birth

Child Name

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Date Of Birth

Child Name

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Date Of Birth

Child Name

First

Date Of Birth

Group Selection

9 am to 12 pm

1 pm to 4 pm

Allergies or Special Diet

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Disabilities or Additional Needs for the Child

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No

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065 707 5644
086 125 0111
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Lisdoonvarna Fáilte Office Address:
Lisdoonvarna Enterprise Centre, Unit 3B, Co Clare, V95 WF68
Community Hall Address:
Lisdoonvarna, The Pavilion, Co Clare, V95 YW1C

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