3850 Wilson Blvd. Arlington, VA22203   Ballston Children’s Center   (703)-527-7200 www.vachild.com

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Online Pre-registration
Please fill out the form below. We will contact you as soon as possible.



Parent Information:

First Name: *
Last Name:
Street Address:
Address (cont.):
Zip Code:
Work Phone:
Home Phone:
E-mail Address: *

Child Information:

First Name:
Last Name:
Date of birth:
Sex:Male   Female
Desired enrollment date:
Toilet trained?:Yes    No
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Completion of this form does not guarantee a spot. Spots are generally filled on a first-come first-serve basis. BCC reserves the right to take children out of order to preserve the age mix and orderly promotion of students between rooms.


Ballston Children's Center
3850 Wilson Blvd.
Arlington VA 22203
Phone (703)-527-7200

Revised: December 31, 2015

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E-mail: aadaycare@gmail.com