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Emergency Contact Information
Parent Authorization Release Form
Please indicate name, address, and telephone number of someone else that may pick up your child:
Student Enrollment Agreement
SECTION I: Walking Home
All children must be picked up by 4:30 p.m.
SECTION II: Release Authorization
Medical Coverage Information
Medications and/or Allergies
Note: If your child is accepted into the program, please have him/her bring any medication that may be needed for treatment of a condition or allergy to school on the first day of the program.