Holiday Care Holidays, Teacher Work Days, Spring Break & Christmas Break **For non-members Your Name* First Last Email* PhoneAre you a Rhythms member?*Select OneYesNoName(s) and age(s) of child(ren).*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*Your requested date(s) for child care:* This iframe contains the logic required to handle Ajax powered Gravity Forms.