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WAIT-LIST 2019-2020 Antler Care Before/After-care Registration- Please submit only 1 form per family.
Child Information
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* Indicates required question
Email
*
Your email
Child #1 First Name
*
Your answer
Child #1 Last Name
*
Your answer
Child #1 Gender
*
Male
Female
Other
Child #1 Date of Birth
*
MM
/
DD
/
YYYY
Child's #1 Grade for the 2019-20 School Year
*
Pre- Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
Child #1 2019-20 School Site
*
Deer Creek Elementary
Grove Valley
Prairie Vale
Rose Union
Spring Creek
Child #1Program Options (Check boxes)
*
AM/Before School Care
PM/After School Care
(PRE-K) AM/Before School Care
(PRE-K) PM/After School Care
Required
Please list any allergies for child #1.
*
Your answer
Do you have another child?
*
Yes
No
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