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Extended Care Sign-Up Form
Hours: 11:30 am-2:30 ~ Fee: $18 per student
Sibling discount at $9 for 2+ children
All children will need to bring a bagged lunch and snacks
Regular aftercare fee will apply for service after 2:30 pm
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Email
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Your email
Student Name
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Homeroom teacher
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Parent Name
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Parent Contact Number
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Please select all that apply
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11:30 am-2:30 ~ Fee: $18 per student
2:30 - 5:30 ~ normal extended care fee
Required
I am aware that my child will need a lunch from home on 11/23!
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Yes!
Any additional information that staff may need to know please type below.
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A copy of your responses will be emailed to the address you provided.
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