Special Holiday Registration

Teacher Work Days

*Non-Member Enrollment $35/day

Students currently enrolled in after school will be billed an additional $15.00 per scheduled day if attending at the end of the week- no registration necessary.

**No breakfast or lunch served on these days, please send lunch with your child. Snack provided as usual.

Your Name*
First Last
Email*
Phone*
Additional Authorized Pickup Adult*
First Last
How many children are you signing up?*
**First child is $35.00, each sibling thereafter is $30.00
Child Name(s) and Age(s)*
Allergies we should be aware of:
Please designate child that has the allergy.
Medical conditions or medicine that will need to be administered:
Please designate the child and his or her required medicine (with dosage information).
Emergency Contact:*
First Last
Emergency Phone*
Requested date of care*
MM slash DD slash YYYY
Total
$0.00

Special Holiday Registration

Register For

Teacher Work Days

*Non-Member Enrollment $35/day

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