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STATE OF FLORIDA DEPARTMENT OF HEALTH COUNTY HEALTH DEPARTMENT FOOD SERVICE INSPECTION REPORTRESULT: SatisfactoryFacility Information Permit Number: 164800453 Name of Facility: Springfield Middle
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How to fill out extended day program

01
Obtain the extended day program registration form from the program coordinator.
02
Fill out all required personal information including name, address, contact information, emergency contact, and any allergies or medical conditions.
03
Indicate the days and times you will need extended day care services.
04
Sign and date the form to indicate agreement with program policies and procedures.
05
Return the completed form to the program coordinator before the deadline.

Who needs extended day program?

01
Parents who have work schedules that extend beyond regular school hours and need a safe and supervised environment for their children.
02
Families who require additional educational support for their children to complete homework or engage in enrichment activities after school.
03
Students who benefit from structured social and recreational activities in a group setting outside of regular school hours.
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Extended day program is a program designed to provide child care services before or after school hours.
Any organization providing extended day services is required to file extended day program.
Extended day program can be filled out by providing details about the services offered, hours of operation, staff qualifications, and safety procedures.
The purpose of extended day program is to provide a safe and educational environment for children outside regular school hours.
Information such as program schedule, staff qualifications, safety protocols, and emergency procedures must be reported on extended day program.
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