After School Care- Helen Baller K-3rd grades
Open Monday-Friday until 5:00
Event Address: 1004 NE 4th Ave, Camas WA
Contact us at (360)608-8387 or
Students Name *
Parents Name *
Email *
Phone Number *
Student DOB *
What days of the week would you like attend? *
Do you have specific dates in mind for attendance? If yes what are they? *
Allergies? *
Is your child up to date with Vaccinations? *
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