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Attendance Card Request

  1. Request

    (check all that apply)

  2. Replacement Card?

  3. Add New Cardholder?

    Parents may designate up to 3 additional cardholders for the family. Cardholders must be at least 18 years old unless they are the parent of the child. A child care provider may NOT be a cardholder, even if the provider is a relative.

  4. Remove cardholder?

  5. Leave This Blank:

  6. This field is not part of the form submission.