Christmas Break

Your Name*
First Last
Email*
Phone*
Are you a Jumpstart Member?*
Additional Authorized Pickup Adult*
First Last
Day(s) Of Childcare*
$35/day
Days of Attendance*
- Select All
- Monday, 12/20
- Tuesday, 12/21
- Wednesday, 12/22
- Tuesday, 12/28
- Wednesday, 12/29
- Thursday, 12/30
- Monday, 1/3
Please select the days you will require childcare.
Child Name*
Child Age*
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*
Total
$0.00

Categories: Christmas, Holiday Care

Description

Jump Start is open: Monday – Wednesday: 7:00 am – 6:00 pm (during District 5’s Christmas Break)

*Please send lunch with your child*