LS SPECIALIST BTSN CHILDCARE 10/13

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Hello please comlete this form for childcare for lower school specialist back to school night. We are able to provide cheese pizza, fruit, cookies and water as a dinner. Please indicate the name,age and grade of your child as well as any dietary restrictions. We are able to provide care for sibling of FSS students who are 4 years or older and potty trained. We are limited to 70 children. Thanks.

Email *

Student's name *

Student's grade *

Dietery Restrictions:

Joining sibling? (4y.o.+ , must be potty trained)

A copy of your responses will be emailed to the address you provided.

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