Early Departure from Before School Care (2024)
Student's Name
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First Name
Last Name
Parent's Name
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First Name
Last Name
Phone Number
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Please select for which period you grant consent:
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Please Select
Term 1, 2024
Term 2, 2024
Term 3, 2024
Term 4, 2024
All of 2024
Parent's Signature
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Date Signed
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Month
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Day
Year
Date
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