24-25 School Age Holiday Care

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Please complete this form to enroll you school age child for care at Magnolia Learning Academy on school holidays. You will be invoiced $55 per day.

Child's Name *

Child's Birthdate *

YYYY

Name of the school your child is attending the 2024/2025 school year *

What grade is your child in *

Are your child's shot records on file with their school? *

Yes

Does your child have any known allergies? *

Yes

Parent Name: *

Phone Number: *

Email Address: *

Please select the dates you would like to have your child enrolled for school age care. *

August 30

Sept 20

October 10

October 11

October 14

October 15

Nov 1

Nov 22

Nov 25

Nov 26

Dec 19

Dec 20

Dec 27

Dec 30

Jan 2

Jan 3

Jan 6

Jan 7

Feb 14

Feb 17

Mar 7

Mar 10

Mar 11

Mar 12

Mar 13

Mar 14

April 21

Required

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