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* 1. Do you need childcare over the break from Monday March 26th to Friday March 30th?

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* 2. Do you need childcare from Monday April 2nd to Friday April 6th?

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* 3. Do you need Full Day childcare on any of the following days? (If you need Half Day childcare see next question)

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* 4. Do you need Half Day childcare on any of the following days?

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* 5. Which class does your child attend?

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* 6. What is your child's first name?

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