Procare

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First Baptist Batesburg MMO & ASP

436 West Church Street, Batesburg-Leesville,, SC, 29006, United States

1

Student info

2

Parent info

3

Authorized Pickup Info

4

Policy & Waiver

5

Review

Student #1

First Name

Last Name

Date of Birth

Select Date

Allergies

Medication Needs

Desired Start Date

Select Date

Desired Schedule

Please choose your preferred schedule

2 days - Mon/Wed or Tues/Thurs

3 days - Mon/Wed/Fri or Tues/Wed/Thurs

4 days - Mon-Thurs or Tues-Fri

5 days - Mon-Fri

Other