Early Morning Care Registration
Helena Elementary School
Student's First Name *
Your answer
Student's Last Name *
Your answer
Grade *
Teacher's Name *
Your answer
My Child will be: *
Primary Email Address *
Your answer
Emergency Contact Information
In case of an emergency, we need to have a number where you can be reached. The emergency contact CAN be a parent if you choose!
Name of Emergency Contact *
Your answer
Emergency Contact Phone Number *
Your answer
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