Before and After School Club Reservations

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Please reserve your Childs spot in advance for the weeks of May 18 - June 18, 2026
Early Dismissal Days - NO PM CLUB
Monday, May 25 - NO School
Friday, June 19 & Monday, June 22 - early dismissals NO PM CLUB
Please fill out 1 form for each child separately
IF THIS FORM IS NOT RECEIVING RESPONSES, CLUB IS FULL

Email *

Untitled Title

PARENT FIRST & LAST NAME *

STUDENTS FIRST NAME *

STUDENTS LAST NAME *

Students Grade-Teacher *

Pick Up Contact Phone Number *

Which dates are you reserving for? AM only

5/18

5/19

5/20

5/21

5/22

5/26

5/27

5/28

5/29

6/1

6/2

6/3

6/4

6/5

6/8

6/9

6/10

6/11

6/12

6/15

6/16

6/17

6/18

6/19

6/22

Which dates are you reserving for? PM only

5/18

5/19

5/20

5/21

5/22

5/26

5/27

5/28

5/29

6/1

6/2

6/3

6/4

6/5

6/8

6/9

6/10

6/11

6/12

6/15

6/16

6/17

6/18

6/22

A copy of your responses will be emailed to the address you provided.

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