SY23-24: Extended Care Form
You must complete a separate form for each child.
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Email *
Child First Name
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Child Last Name
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Date of Birth
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MM
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DD
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YYYY
Gender
 *
Classroom
 *
Extended care services are fee-based. Parents must apply for a subsidy or complete a tuition agreement to pay out-of-pocket. Tuition is billed monthly.
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