Afterschool Program & Flex Wednesday
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Email *
Child's Name *
Parent(s) Name and Phone Numbers *
My child will attend Smarties Afterschool Program (Skip if not applicable)
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For Afterschool Program                                                                         Please list child's school, grade & school dismissal time (Skip if not applicable)
My child will attend Flex Wednesday Drop-in *
I read the information email in it's entirety. I will direct any questions that I may have to Smarties staff.                    Please type full name for signature *
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