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* 1. Next year, my child will be in:
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* 2. How many of your children will use the Late Pick Up Service net year?

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* 3. I expect to use the Late Pick Up Service:

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* 4. When we use the service, my children are generally in Late Pick Up for:

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* 5. My children would enjoy /benefit from the following activities (tick all that apply):

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* 6. I have the following comments and suggestions:

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