We Will Not Accept An Application That Is Incomplete . Working Parent's Phone No. I certify that the above information is correct and that my child is in normal physical and mental health. I also understand that the Town of New Castle does not maintain medical insurance for program participants.
Persons participating do so at their own risk.
X-ray and needed care. I further agree to pay for all the costs for the medical care of my child. This request must be made by both parents in writing.