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Forms
Child & Youth Services
Request for Care Record
1. Registration
[MS
Word] [PDF]
2. Letter
of explanation for Care Record. [MS Word]
[PDF]
3. Healthcare Assessment [MS
Word] [PDF]
4. Eligibility and Priority Policies. [MS
Word] [PDF]
5. Request for Care and Special Needs Checklist. [MS
Word] [PDF]
Bring the completed
documents to the Registration office located in Markham School Age
Services, Bldg. 950, 9500 Barlow Road, or fax to (703) 805-9113.
Download
Information
This
page contains forms and documents in MS Word and Adobe Portable
Document Format (PDF). You will need Microsoft Word ver. 7 or
higher to view the Word document. You will need the free Adobe
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