2023-2024 Okeechobee County Schools AfterCare Registration / Programa de Cuidado Infantil Extensivo

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Please complete this form to reserve your child's place in AfterCare for next year. / Favor de llenar esta forma para que sepamos que su estudiante va atender el progama de cuidado infantil extensivo para 2023-2024.

Email *

STUDENT'S Last Name / Apellido de estudiante *

STUDENT'S First Name / Primer nombre de estudiante *

School Student Attends / Escuela de estudiante *

Student's Grade / Grado de estudiante *

Birthdate / Fecha de nacimiento *

YYYY

PARENT'S Name / Nombre de los padres *

Parent's Phone Number / Numero de telefono *

Emergency Contact Name / Nombre de contacto de emergencia *

Emergency Contact's Phone Number / Numero de telefono de contacto de emergencia *

Does your child have a safety plan or other special circumstances? *

Yes

Send me a copy of my responses.

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