Genesis ECP Inquiry

We appreciate your interest in CtR's Genesis Early Childhood Program. Fill out the form below and Director Mary Davis will contact you.
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Child 1
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Child 2
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Child 3
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- What days are you interested in?
  
  18 month olds - as of Sept. 1, 2017 Monday and Wednesday Tuesday and Thursday Monday - Thursday
  
  2-4 year olds - as of Sept. 1, 2017 Monday, Wednesday and Friday Tuesday and Thursday Monday - Friday
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