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After School Care
Hours from after school until 5:30 daily.
Staffed by Atalaya Teachers and Aides.
Limited Spaces Available.
Fill out for each child in the family that needs it.
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* Indicates required question
Email
*
Your email
What is the best number to reach you at during aftercare? (this will be emergency contact #1)
*
Your answer
What is your child's first name?
*
Your answer
What is your child's last name?
*
Your answer
What is your child's lunch number?
*
Your answer
What is your child's grade level?
*
PK
Kinder
1
2
3
4
5
6
What days do you need care? (check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
On what week do you want your child to begin the program?
MM
/
DD
/
YYYY
Emergency Contact for while in aftercare-Name & Number? (this will be used as emergency contact #2)
*
Your answer
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