Asynchronous Day Childcare 2/1/2021

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Please fill out this form for each child that you will be bringing to school for childcare on Monday, February 1st for our Asynchronous Learning Day. You can drop off between 7:30 and 8:00 a.m. as normal and we will run carline from 3:30-3:40 p.m. Students who are registered for Triple A extended care will have the option to stay until 6:00 p.m. as well.

Student First Name *

Student Last Name *

Student Grade Level *

Kinder

1st

2nd

3rd

4th

5th

My student will be ordering breakfast. *

Yes

My student will be ordering lunch. *

Yes

At the end of the day... *

My child will be picked up in the carline at 3:35.

My child is registered for Triple A and will need extended care that day as well.

Please share any other important information about your child that our childcare staff needs to know.

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