Summer 2019 K-4 Waiting List Request Form
What is your child's name?
What grade will your child be in for the 19-20 school year?
What days do you need care?
Pick Your Days
Does your child receive any special services during the school day (speech, OT, special education)? If yes, please indicate what they receive services for.
What is the best phone number to reach you at?
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