11/18/19 PTO Meeting Childcare Registration

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The School's Out After School Program will be providing FREE childcare for family members wishing to attend the upcoming PTO meeting at Orchard. Our qualified and friendly staff will provide age appropriate activities for the duration of the evening. Please fill out this form if your child will be attending so we can staff appropriately. Please fill out a separate form for each child.

Email *

Child's Name *

Child's Grade *

Parent's Name *

Cell Phone (or number to call in an emergency) *

Alternate Phone (if above is unavailable)

Is there anything you'd like us to know about your child? Dietary restrictions? Medical needs? Hobbies or interests?

Send me a copy of my responses.

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