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Holiday Care Form
April 22nd
*Holiday Care will be held if 10 or more registered students sign up.
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*This form must be completed and submitted by April 12th for Early Registration of $45. After the previously stated deadline, the amount will be $60 per child per day for Holiday Care.
*Please arrive by 9:00am if you would like for your child to eat lunch from the dining hall. All who arrive after this time will need to bring a lunch.
Child's Name:
*
Your answer
Grade
*
Choose
PreK
K
1st
2nd
3rd
4th
5th
Name of Emergency Contact for the Day:
*
Your answer
Phone Number of Emergency Contact:
*
Your answer
If your student is NOT currently registered in Before or Aftercare, please list approved adult names for the pickup of the child.
Your answer
Known Allergies/Medical Conditions:
*
Your answer
I understand my account will be charged a payment of $45.00 per day per child or $60 per day per child if the form is not completed by the early registration due date. By typing your FIRST and LAST NAME on this contract indicates acceptance of the above items.
*
Your answer
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