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2019-2020 After Hour Kid Power Interest Form
Parents interested in after school care for the 2019-2020 school year are asked to complete the interest survey below. Please complete an interest survey for each child.

The After Hour Kid Power program will begin August 19, 2019. The hours of operation are school dismissal until 6:00 p.m., Monday through Friday. Services will not be provided on early dismissals days and holidays. Rates are $50.00 per week for the first child and $40.00 per week for the second child at the same school location.

School Name *
Student Name *
Your answer
Grade of Student *
Parent/Guardian Name *
Your answer
Physical Address
Your answer
Mailing Address (if different from physical) *
Your answer
Telephone number *
Your answer
Anticipated Form of Payment *
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