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Application Before/After Care 2023-2024
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* Indicates required question
Child's First Name:
*
Your answer
Child's Last Name:
*
Your answer
Address:
*
Your answer
Address Line 2:
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
Phone Number:
*
Your answer
Email Address:
*
Your answer
School Attending:
*
Charles Campagne
Central Blvd.
Kramer Lane
Number of Days Needed in AM:
*
0
1
2
3
4
5
Number of Days Needed in PM:
*
0
1
2
3
4
5
Grade as of September 2024
*
K
1
2
3
4
5
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