WAIT-LIST 2019-2020 Antler Care Before/After-care Registration- Please submit only 1 form per family.
Child Information
Email address *
Child #1 First Name *
Your answer
Child #1 Last Name *
Your answer
Child #1 Gender *
Child #1 Date of Birth *
MM
/
DD
/
YYYY
Child's #1 Grade for the 2019-20 School Year *
Child #1 2019-20 School Site *
Child #1Program Options (Check boxes) *
Required
Please list any allergies for child #1. *
Your answer
Do you have another child? *
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