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CHIMNEY LAKES ELEMENTARY EXTENDED DAY PROGRAM ENROLLMENT FORM 2015/2016 GRADE TEACHER ENROLLMENT DATE AM 7:00 8:30 PM 3:00 6:00 WITHDRAWAL DATE Child's Name: (Last) (First) (Middle) (Alias) Birth
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Chimney Lakes Elementary Extended is a program that offers additional educational opportunities and services outside of regular school hours.
Parents or guardians of students enrolled in Chimney Lakes Elementary may be required to file for the extended program.
To fill out Chimney Lakes Elementary Extended, parents or guardians can typically complete an application form provided by the school or program coordinator.
The purpose of Chimney Lakes Elementary Extended is to provide students with a safe and enriching environment outside of regular school hours, offering educational and recreational activities.
Information such as student name, grade level, emergency contact information, medical conditions, and any special accommodations or instructions must be reported on Chimney Lakes Elementary Extended forms.
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