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JR Wilcox After School and Lunch Time Programs
Term: Spring Programs
Due: March 20th
Please fill out this form for each child. Please note, we can only offer one subsidized spot per child and we may not be able to guarantee your first choice. Please review the programs available by checking
https://jrwilcox.ca/jr-wilcox-lunch-time-after-school-programs/
and then come back fill out the form.
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* Indicates required question
Parent/Guardian Name
Your answer
Parent/Guardian Email
Your answer
Student's Full Name
*
Your answer
Student's Teacher
*
Your answer
Student's Grade
*
Your answer
Which program is your first choice for your child?
*
Your answer
Which program is your second choice for your child?
Your answer
What level of financial subsidy do you require?
*
25% subsidy
50% subsidy
75% subsidy
100% subsidy
Other:
Required
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