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AfterCare Registration 2023-2024

Please complete the form below. Required fields marked *

AfterCare Registration 2023-2024

Student Name(s)*

Answer Required

Parent Information

Parent/Guardian Name(s)*

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Mother's Primary #*

Number Required

Mother's Secondary #

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Father's Primary #*

Number Required

Father's Secondary #

Number Required

Emergency Contact and Phone #*

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Name(s) of Student enrolled - Grade/Food Allergies/Medication*

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The following people are permitted to pick up my child from AfterCare (include name and #): *

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