St. Anne-Pacelli Catholic School 2020-2021 Extended Day Program Selection Form
All students attending Extended Day must be signed up under one of the following two programs:

1. Extended Day Monthly - Monthly Invoice
2. Extended Day Drop-In - Cash or check due at pick up
Please select the program you wish to use for 2020-2021 by using the form below. ALL families that register for Extended Day are required to complete and return this form.
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Email *
The following students will be using Extended Day Monthly (list student first/last name(s) and grade level(s)):
The following students will be using Extended Day Weekly at the daily drop-in rate (list student first/last name(s) and grade level(s)):
Parent Name *
Parent Signature (type name as electronic signature) *
Date *
MM
/
DD
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YYYY
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