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Please complete this survey for each child in your family that will need before and/or after school care, care during school recess periods, and/or care on teacher professional development in-service/student remote learning days.

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* 1. My child's grade:

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* 2. The elementary school start is estimated to be between 8:30 and 8:45 and the JSHS start time is estimated to be between 8:00 and 8:15 next year. What days will your child need before school care?

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* 3. What time do you anticipate dropping your child off in the morning?

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* 4. The elementary school dismissal time is estimated to be between 3:15 and 3:30 and the JSHS dismissal time is estimated to be between 2:30 and 2:45 next year. What days will your child need after school care?

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* 5. What time do you anticipate picking your child up in the afternoon?

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* 6. Do you need care for your child on any of the following teacher professional development in service/student remote learning days? If so, please check all days that you anticipate needing care.

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* 7. Do you need care for your child during any of the following school recess periods next year? If so, please check all that apply.

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