Return-Path: Delivered-To: thelands@ihosting01.deskteam360.com Received: from ihosting01.deskteam360.com by ihosting01.deskteam360.com with LMTP id YNuSMeaQBGd4nw0A87HoEw (envelope-from ) for ; Tue, 08 Oct 2024 01:54:46 +0000 Return-path: Envelope-to: joanna@thelandsendschool.com Delivery-date: Tue, 08 Oct 2024 01:54:46 +0000 Received: from thelands by ihosting01.deskteam360.com with local (Exim 4.97.1) (envelope-from ) id 1sxzR0-00000003lAD-30ie for joanna@thelandsendschool.com; Tue, 08 Oct 2024 01:54:46 +0000 To: joanna@thelandsendschool.com Subject: New submission from Waitlist Application X-PHP-Script: thelandsendschool.com/index.php for 69.181.189.215, 69.181.189.215 X-PHP-Originating-Script: 1071:PHPMailer.php Date: Tue, 8 Oct 2024 01:54:46 +0000 From: "joanna@thelandsendschool.com" Message-ID: X-Mailer: WPMailSMTP/Mailer/mail 3.9.0 MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="b1=_AWoAV8dwGu7gk5Nl0Zkr9o7UkweNossEQ05N0BhM2I" Content-Transfer-Encoding: 8bit --b1=_AWoAV8dwGu7gk5Nl0Zkr9o7UkweNossEQ05N0BhM2I Content-Type: text/plain; charset=us-ascii New submission from Waitlist Application
Child's Information
Name
  Baby Carrasco
Date of Birth
  03/25/2025
Address
  6315 Valley View Rd
Oakland, CA 94611
Map It
Program Applying For
Program
  Infant (3-18 Months)
If not born, due date :
  3/25/25
Is either parent or guardian an employee of the SFVAMC? Federal Employee?
  Yes
1. Parents / Guardian
Parent/Guardian
  Lauren Carrasco
Employer
  San Francisco VA Medical Center
Position
  Nurse Practitioner
Work Address / City / State / Zip
  4150 Clement St. San Francisco, CA 94121
Email Address
  laurenyannucci@gmail.com
Phone
  (707) 315-8567
2. Parents / Guardian
Parent/Guardian
  Jonathan Carrasco
Email Address
  jon.carrasco24@gmail.com
Phone
  (510) 910-2329
Signature
  Lauren Carrasco
Date
  10/07/2024
To check you are not Robot
What is 15 minus three
  12
--b1=_AWoAV8dwGu7gk5Nl0Zkr9o7UkweNossEQ05N0BhM2I Content-Type: text/html; charset=us-ascii New submission from Waitlist Application
Child's Information
Name
  Baby Carrasco
Date of Birth
  03/25/2025
Address
  6315 Valley View Rd
Oakland, CA 94611
Map It
Program Applying For
Program
  Infant (3-18 Months)
If not born, due date :
  3/25/25
Is either parent or guardian an employee of the SFVAMC? Federal Employee?
  Yes
1. Parents / Guardian
Parent/Guardian
  Lauren Carrasco
Employer
  San Francisco VA Medical Center
Position
  Nurse Practitioner
Work Address / City / State / Zip
  4150 Clement St. San Francisco, CA 94121
Email Address
  laurenyannucci@gmail.com
Phone
  (707) 315-8567
2. Parents / Guardian
Parent/Guardian
  Jonathan Carrasco
Email Address
  jon.carrasco24@gmail.com
Phone
  (510) 910-2329
Signature
  Lauren Carrasco
Date
  10/07/2024
To check you are not Robot
What is 15 minus three
  12
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