Summer Care registration form

Summer Care registration form

Name * settings

Student 1 Name * settings

Student 1 Grade * settings

Student 2 Name settings

Student 2 Grade settings

Student 3 Name settings

Student 3 Grade settings

Emergency Contact 1 * settings

Emergency Contact 1 Phone Number * settings

Emergency Contact 2 Name * settings

Emergency Contact 2 Phone Number * settings

Email * settings

Address * settings

Cost settings From $20.00

add_shopping_cart

7:00AM - 12:00 PM $20.00

12:00-5:00 PM $20.00

Full Day $40.00

Weekly Rate $175.00

Additional Child weekly Rate $75.00

Student Attendance Schedule * settings

	1/2 day AM	1/2 day PM	Full Day	No Attendance
Monday
Tuesday
Wednesday
Thursday
Friday

Summer Care Calendar

All Dates marked in GREEN are operational dates. Dates marked in RED are Closed. Summer Care Starts May 30th and runs through July 21st.

Calendar settings

Review and submit

Please review your response before submitting it for processing.

Submit

Summer Care registration form

Click Submit to finish.

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