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Quick Registration

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Take this quick questionnaire to find out if you could qualify for child care assistance!

First Name

Last Name

Email

Do you live in NYS?

Are your children citizens or have satisfactory immigration status?

Do you meet one of the following?

Do you fall under one of the following income levels?

Family of 2 $59,160 Annual Income Limit

Family of 3 $$74,580 Annual Income Limit

Family of 4 $90,000 Annual Income Limit

Family of 5 $105,420 Annual Income Limit

Family of 6 $120,840 Annual Income Limit

I attest that I have answered this form honestly and accurately.

Thanks for submitting! Our Subsidy Specialist will be in touch with the results of the questionnaire and next steps via email.

JOIN OUR MAILING LIST

Thanks for submitting!

Healthy Kids
Programs

MAIN OFFICE
565 Union Ave
New Windsor, NY 12553
p: 845-568-6100
f: 845-569-3925

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