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After School Program
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Child's Full Name
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Child's School
Broad Street Elementary School
Emily Brittain Community Partnership and Demonstration School
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Child's Grade
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
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Parent/Guardian's Full Name
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Parent/Guardian's Phone Number
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Parent/Guardian's Email Address
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My child is planning to attend the After School Program on the following day(s):
Every Tuesday
Every Thursday
Every Tuesday and Thursday
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