Windham Raymond School Age Child Care

SACC

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2020 Fall Registration Form

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All current SACC families must re-register in order to have a spot in the upcoming fall program!

Parents please be sure to note on your check that it is for fall registration

Registration Fee is $60 for the first child, $30 for each additional child

*The registration process is not complete until you receive a confirmation email from windhamraymondsacc@yahoo.com. Spots are not held if registration fees are not paid at the time of registration.

You currently have a student enrolled in WRSACC	yes No
Child's Name:
DOB
2020-2021 grade
Child's Name
DOB
2020-2021 grade
Child's Name
DOB
2020-2021 grade
Parent/Guardian name
Home Address
Town
Home phone
Work phone
Cell phone
Primary Email address
Parent/Guardian name
Address (please include town)
Home phone
Work Phone
Cell phone
With whom does child reside with primarily:	Mother Father Both Legal Guardian
Will your child attend mornings, afternoons, or both?	Mornings only Afternoons only Both
Which Mornings will your child(ren)attend?	All None Monday Tuesday Wednesday Thursday Friday
Which afternoons will your child(ren) attend?	All None Monday Tuesday Wednesday Thursday Friday

	Submit

Thank you for your interest in our program. This form has been sent to our email (windhamraymondsacc@yahoo.com). Once we receive it we will be contacting you.

Have a great day!
WRSACC

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*Please note that the center phones are only on during the program hours. Messages will be checked as soon as phones are turned back on. If you need assistance outside of program hours please send an email or contact the director. Thank you!

E-mail : windhamraymondsacc@yahoo.com