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Before and After Care 2023
* Indicates required question
Email
*
Record my email address with my response
Parent/guardian's name
*
Your answer
Student's first and last name(s) - separate names with a comma
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Your answer
Are you interested in before care? (6am-8am)
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Yes
No
Are you interested in after care? (3:40-6:00pm. Late fees apply after 6pm)
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Yes
No
Guardian's phone number
*
Your answer
Emergency/authorized pickup person #1
*
Your answer
Emergency contact #1 phone number
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Your answer
Emergency/authorized pickup person #2
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Your answer
Emergency contact #2 phone number
*
Your answer
Emergency/authorized pickup person #3
*
Your answer
Emergency contact #3 phone number
*
Your answer
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