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Winter Break 12/22/2025-1/5/2026
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1.
Parent name
(Required.)
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2.
Parent phone number
(Required.)
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3.
Member name
(Required.)
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4.
Member Grade
(Required.)
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5.
Please select the day(s) you need.
(Required.)
Monday, 12/22
Tuesday, 12/23
Monday, 12/29
Tuesday, 12/30
Monday, 1/5
ALL 5 DAYS
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6.
I understand that if I must cancel services, that I must text 714-360-3628 or send a message on ProCare, 24 hours before day of cancelation to avoid $25 No Call/ No Show fee.
(Required.)
I understand
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7.
I understand that a No Call/ Show will result in a $25 fee per day.
(Required.)
I understand
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8.
I acknowledge that the hours of operation this day are from 7:00am-6:30pm. I also acknowledge that breakfast is from (7:30-8:30am), lunch (11:30-12:30pm) and snack at (3:30).
(Required.)
I understand
Other (please specify)
