After Care Registration Form
Please register for After Care by the Friday the week before your child will attending our program.

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Child's First Name *
Child's Last Name *
Child's Grade *
We will need child care on the following days for the week of Jan 7th-11th:
We will need child care on the following days for the week of Jan 14th-18th:
We will need child care on the following days for the week of Jan 22nd-25th:
We will need child care on the following days for the week of Jan 28th-31st:
Do you need to register another child? *
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