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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