CHILD INFORMATION
First Name:
Last Name:
Date of Birth:
Gender: MaleFemale
DAYS TO ATTEND
Monday   Tuesday   Wednesday   Thursday   Friday
 
COMMENTS:
 
 
PARENT / GUARDIAN INFORMATION
Mother / Guardian Full Name
Father / Guardian Full Name
Address:
City: State: Zip Code
Phone Number:
Work Number:
Email:
 
 






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Nevada Child Care Licensing   486-7918
American Red Cross   791-3311
Attention Deficit Disorder Clinic   736-1919
Bridge Counseling   474-6450
(Adults, families, Children)    
Child Abuse And Neglect Hotline   399-0081
Child Find (CCSD)   799-7463
Children With Special Needs   256-8098
(Support group)    
Clark County Health District   385-1291
Clark County Schools Early   799-7479
Childhood Services    
Southern Nevada Health District   759-0704
"Covering Kids"    
Family to Family (information and classes)
St. Rose Dominican Hospital *contact Jen Findlay		   568-9601
Henderson Safe House
(hotline/shelter for domestic violence)		   564-3227
Henderson Parks and Recreation   565-4264
Nevada 211
(Free Information about: Community Services like food, clothing, shelter, counseling etc.)		    
Nevada Early Intervention Services
(Developmental services and support for Children 0-3 years of age)		   486-9200 (referral)
Nevada Pep
(parents encouraging parents) 		  388-8899
Parenting Project
(Free classes on infants though teens)		   455-9255
Safe House
(shelter and counseling services- Henderson)		   451-4203
Safe Nest (temporary assistance for domestic crisis)   646-4981 or 877-0133
Shade Tree Shelter
(emergency shelter for women and Children)		   385-0072
State of Nevada Child Care Resources and Referral   1-800-753-5500
© The Art of Learning 2010