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School Age Child Care (SACC) Registration Form
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What is your student's name? Please include all students who you would register for the program.
Your answer
What is your student's birthdate?
Your answer
What time of day would you need SACC services?
Morning
Afternoon
Both
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Days of the week you would need SACC services?
Monday
Tuesday
Wednesday
Thursday
Friday
What grade is/are your student(s) entering?
Your answer
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