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SHV Extra Day Request Form 2021/2022
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* Indicates required question
Email
*
Your email
Student Name:
*
Your answer
Class/Teacher:
*
Your answer
Extra Day Date:
*
MM
/
DD
/
YYYY
Check Class:
*
Tender Hearts. Little Tykes & Tiny Tots: $65.00
Nursery 1,2,3/Pre-K 1,2,3/Kdg: $55.00
Required
Payment Choice:
*
Check
FACTS Withdrawal
Required
Payment By Check - Provide Check #
Your answer
Parent/Guardian Signature:
*
Your answer
Date Submitted:
*
MM
/
DD
/
YYYY
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