Lower School After School Care Sign Up Form

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Lower School After School Care Sign Up Form

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* Indicates required question

Email *

Your email

Parent Name *

Your answer

Primary Contact Number *

Your answer

Additional Contact Information (if applicable)

Your answer

Emergency Contact Name and Phone Number *

Your answer

Does your Emergency Contact have permission to pick your child up from After School Care? *

Yes

No

How often will your child be attending After School Care? *

Weekly (4 or more days per week)

Drop-In (3 or less days per week)

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