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Extended Day Sign Up Form, St. Alphonsus/St. Patrick School
Please be sure that you have filled out this form by 9pm on Sunday night of the week when you will need to use extended day service. Thank you!
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* Indicates required question
Child's (or Children's) Name or Names:
*
Your answer
Parent's Name
*
Your answer
For the Week of:
*
MM
/
DD
/
YYYY
Please check the day or days your child or children will be attending the extended day program:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
If your child will be attending the Extended Day Program after a school activity (ie: Chess Club, athletic practice, club meeting, etc.) please indicate that information here:
Your answer
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