Before and After School/Extended Day Program Viability Survey, Kindergarten to Gr.6
Program services are provided at the school where there is enough interest to be deemed viable.

Estimated fees:
Before School - $11 - $12/day
After School - $12 - $15/day

Please submit this form by Friday, May 31

** Please note that this is a viability survey. Completing this form DOES NOT register your child into the Before and After School Program. Please contact your child's before and after school program provider for a registration package (for more information, please contact your child's school).
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School: *
Required
Parent/Guardian Name: *
Phone number: *
Number of children in your family in grades K-6 that require before or after school program services for the 2019/2020 school year: *
If provided, are you planning to enroll your child(ren) in the BEFORE-school program for the 2019/2020 school year? *
If provided, are you planning to enroll your child(ren) in the AFTER-school program for the 2019/2020 school year? *
If you answered "no" or "undecided" to either of these above questions, please tell us why. *
Required
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