Crown Extended Day Care Application
This form is a request and does not guarantee placement.  Final notification will come from the office of the Director.  If you have multiple children, an individual application is needed for each
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Please enter STUDENT'S name below: *
Please review extended care pricing and make your selection:
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AM I
AM II
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PM II
Check here if you're a district employee and need 7am-4pm
Please enter today's date: *
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