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Dunwoody School Elementary
2018-2019 After School Extended Day Program Application
Dear Parents,

Please note that completion of this form does not guarantee placement in the after school program. You will be notified by email on June 8th of placement in the program or if you have been placed on the wait list. Please ensure contact information is correct. You will be contacted if a space becomes available. If you have any questions, please contact Ms. Jacobs at

Child's Full Name *
Your answer
Student Grade for 2018-2019 School Year *
Parent's First and Last Name *
Your answer
Parent's Email Address *
Your answer
Parent's Phone Number *
Your answer
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