South Dearborn Before Care Interest Form
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Email *
Parent/Guardian Name:   Please provide your full name. *
Please provide a phone number where you can be reached if necessary. *
School Attending (Elementary) - Check all that apply for the family *
Number of Children Interested in Enrolling *
Required
Children's Names and Grades at Dillsboro Elementary:  Please list the names and current grade levels of your children who would be enrolling in Before Care.  Type "none" if this not apply. *
Children's Names and Grades at Aurora Elementary:  Please list the names and current grade levels of your children who would be enrolling in Before Care.  Type "none" if this not apply. *
Children's Names and Grades at South Dearborn Middle School:  Please list the names and current grade levels of your children who would be enrolling in Before Care.  Type "none" if this not apply. *
Which days of the week would you require before-care services for your children?   *
Required
What time would you use the before-care service? *
Required
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