Track-Out  : Track-Out Directory
Complete the following track-out form for inclusion on our Web site, as well as our 2010-2011 Ultimate Family Resource Guide. Deadline for inclusion is February 19, 2010. If you have any questions, please e-mail Janice Lewine at jlewine@carolinaparent.com. To mail or fax your listing: fill out the fields in the online form below, click on the Preview button at the bottom of the form, then click on the Print button to print the page. Mail your printed form to:  Carolina Parent Attn: Janice Lewine 5716 Fayetteville Rd., Ste. 201 Durham, NC 27713 Phone: 919-956-2430 Fax: 919-956-2427  Please note: Information may be edited for style and clarity.   *Required Information
Program Name: *
Address: *
City: *
State: *
Zip: *
County: *
Phone: *
Web Site:
On what school calendar is your schedule based?
Ages:
Fees/Tuition: (please note weekly, monthly, etc.)
Sibling Discount:	NoYes
Program Description: (please limit to 25 words)
The following information will not be published, but is required should we have questions or need clarification:
Contact Name: *
E-mail: *
Directory Enhancements (Optional) You can enhance your free Track-Out Directory listing with a hyperlink to your Web site from our online directory. In addition, we offer a range of enhancements, including brochures, coupons, audio and video, which will move you to the Premium listing category in any directory you choose.
Are you interested in learning more about ways to enhance your directory listing?	No Yes