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School Children Pick-up
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* Indicates required question
Client Name
*
Your answer
Phone Number
*
Your answer
How many children?
*
Choose
1
2
3
4
How long will you need our services for?
*
One Month
One Term
Multiple Terms
Other:
Where will we pick you the children from?
*
Your answer
What school do the children attend?
*
Your answer
Start Date
*
(What day would you like the service to start)
MM
/
DD
/
YYYY
End Date
*
(What day would you like the service to end)
MM
/
DD
/
YYYY
What time does school start?
*
Time
:
AM
PM
What time does school close?
*
Time
:
AM
PM
Email
(Optional - if you have an email you want us to contact you on)
Your answer
What is the best way for us to contact you?
Choose
Phone Call
WhatsApp
Email
Other (if so tell us below)
Do you have any special requests or additional details you would like to add?
(Example: If all the children do not attend the same school, provide the additional details below)
Your answer
Submit
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