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Registration

Extended Care Registration

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  • EMERGENCY CONTACT (if parents can not be reached)

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  • The electronic signature above and its related fields are treated by Our Lady of the Holy Souls Extended Care like a physical handwritten signature on a paper form. 

    Agreement: My signature above affirms that I attest that all information included on this application form is true and accurate. I understand that any willful omission or untrue statement could result in my child losing his/her seat in Our Lady of the Holy Souls Extended Care. 

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