| Lakecrest Afterschool Program | ||||||
|---|---|---|---|---|---|---|
| February 2012 | ||||||
| Sun | Mon | Tue | Wed | Thu | Fri | Sat |
| 1 ___ Hour(s) | 2 ___ Hour(s) | 3 ___ Hour(s) | 4 ___ Hour(s) | |||
| 5 ___ Hour(s) | 6 ___ Hour(s) | 7 ___ Hour(s) | 8 ___ Hour(s) | 9 ___ Hour(s) | 10 ___ Hour(s) | 11 ___ Hour(s) |
| 12 ___ Hour(s) | 13 ___ Hour(s) | 14 ___ Hour(s) | 15 ___ Hour(s) | 16 ___ Hour(s) | 17 ___ Hour(s) | 18 ___ Hour(s) |
| 19 ___ Hour(s) | 20 ___ Hour(s) | 21 ___ Hour(s) | 22 ___ Hour(s) | 23 ___ Hour(s) | 24 ___ Hour(s) | 25 ___ Hour(s) |
| 26 ___ Hour(s) | 27 ___ Hour(s) | 28 ___ Hour(s) | 29 ___ Hour(s) | |||
Name:_______________________________________
Please indicate on each day the number of hours your child will require supervision
Record them on both schedules (return one and keep one as a copy)
Please return this form by February 11th
Thank you!