Pre-Registration 2020-2021
Please complete one form per child if your family is interested in signing up for Heath Extended Day in September. Please note that our program policies and procedures on our website at www.heathextendedday.org
Email address *
Child First Name *
Your answer
Child Last Name *
Your answer
Grade Child is Entering *
Check All That Apply *
Required
Check All Days Needed *
Required
Check All That Apply *
Required
Your Name *
Your answer
Today's Date *
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