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Extended Day Sign-Up
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Extended Day Program
Extended Day Weekly Sign Up
Child's (or Childrens) Name(s):
*
For the Week Of:
*
Year
2012
2013
2014
2015
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
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Dec
Day
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Please check the day(s) your child (or children) will be attending:
*
Monday
Tuesday
Wednesday
Thursday
Friday
If your child will be attending the Extended Day Program after a school activity (ie: Chess Club, Choir, etc.) please indicate here:
N/A