After School Care Registration Form

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After School Care Registration

2022-2023 School Year
  • MM slash DD slash YYYY
  • Please remember: Reservations and payment should be made by Thursday of the week before care is needed.
  • Use the (+) symbol to add multiple names. Please indicate the days that each student will regularly attend ASC. You may type the following abbreviations in the box: M - Monday, T - Tuesday, W - Wednesday, H - Thursday, F - Friday.
    NameGradeDays attendingApprox. Pick-Up Time 
  • This may include details related to allergies, custody arrangements, etc.
  • Please provide the names of all people (PARENTS INCLUDED) who may pick up this child/these children from After School Care. Use the (+) symbol to add multiple names.
    NameRelationshipCell Phone Number 
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