Hilltop AC 19-20 Waiting List Request Form
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Email *
What is your child's name? *
What grade will your child be in for the 19-20 school year? *
What care do you need? *
Required
Does your child receive any special services during the school day (speech, OT, special education)? If yes, please indicate what they receive services for. *
What is the best phone number to reach you at? *
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