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School Age Childcare Program Services
* Required
Name
*
Your answer
Phone Number
*
Your answer
What school age child care services are you interested in?
*
After School Child Care
Before School Child Care
Full Day Child Care(School's Day Out, Inclement Weather, Holiday Break)
Learning Labs-Limited hours of homework help and internet access in a youth centered environment
Required
Number of children in your family that would need childcare this school year. (K-8th)
*
1
2
3
4 or more
Required
In which grades are your children currently in?
*
K
1
2
3
4
5
6
7
8
Required
What schools do your children attend?
*
Your answer
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