Weekly Scheduling Availability
Summer
break*
School
year*
Bold fields required
Session
time
Child last
name:
Mon
 Tue
 Fri
Wed
 Thu
8:00
Child first
name:
9:00
M        D          Y
Child date
of birth
10:00
Parent last
name:
11:00
2:00
Parent
first name:
3:00
email
4:00
Telephones - please provide at least one
5:00
 Home
6:00
Cell
Comments
Work
* Enter one form each for school
year and/or summer break
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