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Attendance Card Request

  1. What do you need to do?

  2. Reason for Replacement

  3. Name, and reason for replacement

  4. Cards will be mailed to the parent’s address as listed in our system.

  5. Add Alternative Card Holder(s):

    Parent can designate up to 3 additional card holders for the family. Note: All card holders must be at least 16 years of age unless they are the parent of the children in care, and the child care provider may NOT be a card holder.

  6. Additional Card Holder #1

  7. Additional Card Holder #2

  8. Additional Card Holder #3

  9. Delete Card Holder(s):

  10. Card Holder #1

  11. Card Holder #2

  12. Card Holder #3

  13. Leave This Blank:

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