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KALEIDOSCOPE MONTHLY SCHEDULING SHEET
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NAME __________________________MONTH
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MondayTuesdayWednesdayThursdayFridayTotal for Week
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from:from:from:from:from:hrs:
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to:to:to:to:to:
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hrs:hrs:hrs:hrs:hrs:
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MondayTuesdayWednesdayThursdayFridayTotal for Week
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from:from:from:from:from:hrs:
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to:to:to:to:to:
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hrs:hrs:hrs:hrs:hrs:
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MondayTuesdayWednesdayThursdayFridayTotal for Week
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to:to:to:to:to:
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hrs:hrs:hrs:hrs:hrs:
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MondayTuesdayWednesdayThursdayFridayTotal for Week
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from:from:from:from:from:hrs:
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to:to:to:to:to:
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hrs:hrs:hrs:hrs:hrs:
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MondayTuesdayWednesdayThursdayFridayTotal for Week
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$6 Preschool
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Total hours for month (2 hr. min. per day) ___________x$7 Toddler
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$8 Infant
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$20 School Age 1/2 day_______
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$40 School Age Full day_______
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Annual registration fee$60.00 (September) _______________
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Total Amount Due $_______________
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Snacks and lunches are provided by Kaleidoscope and included in the hourly fee.
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ALL IMMUNIZATION AND WAIVER FORMS MUST BE COMPLETED PRIOR TO YOUR CHILD ATTENDING KALEIDOSCOPE.
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RETURN THIS FORM BY THE 25TH OF THE PRIOR MONTH
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KALEIDOSCOPE
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PO Box 1476
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Eastsound, WA 98245
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For assistance, please call 376-2484. Our fax is 376-2486.Revised March 15, 2016
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