FLWE Before School Care Registration
Please complete the form for each child you are registering for Early Drop Off.

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Student's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade Level (2017-18) *
Classroom Teacher's Name *
Your answer
Please list any allergies.
Your answer
Please list any medical conditions.
Your answer
Will any siblings also be dropped off early? *
If yes, what are their names?
Your answer
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