Morning Care and After-School Child Care Registration Form

Please complete the form below. Required fields marked *

For more than 2 children, please scroll to the end of the form to add additional children.

Parent Name*

Answer required for "Parent Name"

I understand that all Morning Care and After-School Child Care charges will be posted to my FACTS Account*

Answer required for "I understand that all Morning Care and After-School Child Care charges will be posted to my FACTS Account"

Yes

Will you be enrolling your student(s) in our Morning Care Program?*

Answer required for "Will you be enrolling your student(s) in our Morning Care Program?"

Yes

Please select which plan for Morning Care you are choosing to enroll in.*

Answer required for "Please select which plan for Morning Care you are choosing to enroll in."

Annual

Daily Drop In

Monthly (if choosing this option, you must fill out a registration form at the beginning of each month you are using our Morning Care Program for.

I am not enrolling in Morning Care

If choosing our Monthly plan, please indicate which month(s) you will be utilizing Morning Care for.

Answer required for "If choosing our Monthly plan, please indicate which month(s) you will be utilizing Morning Care for. "

October

November

December

January

February

March

April

May

June

Will you be enrolling your student(s) in our Aftercare Program?*

Answer required for "Will you be enrolling your student(s) in our Aftercare Program?"

Yes

Please select which plan for Aftercare you are choosing to enroll in. *

Answer required for "Please select which plan for Aftercare you are choosing to enroll in. "

Annual

Daily Drop In

Monthly (if choosing this option, you must fill out a registration form at the beginning of each month you are using our Aftercare Program for)

If choosing our Monthly plan, please indicate which month(s) you will be utilizing Aftercare for.

Answer required for "If choosing our Monthly plan, please indicate which month(s) you will be utilizing Aftercare for. "

October

November

December

January

February

March

April

May

June

Child 1: Name*

Answer required for "Child 1: Name"

Child 1: Grade and Homeroom Teacher*

Answer required for "Child 1: Grade and Homeroom Teacher"

Child 1: Allergies*

Answer required for "Child 1: Allergies"

Days Expected to Use After-School Child Care (check all that apply)*

Answer required for "Days Expected to Use After-School Child Care (check all that apply)"

Monday

Tuesday

Wednesday

Thursday

Friday

Child 2: Name

Answer required for "Child 2: Name"

Child 2: Grade and Homeroom Teacher

Answer required for "Child 2: Grade and Homeroom Teacher"

Child 2: Allergies

Answer required for "Child 2: Allergies"

Days Expected to Use After-School Child Care (check all that apply)

Answer required for "Days Expected to Use After-School Child Care (check all that apply)"

Monday

Tuesday

Wednesday

Thursday

Friday

Parent's Contact Information (Name, Email Address, Phone Number)*

Answer required for "Parent's Contact Information (Name, Email Address, Phone Number)"

Emergency Contact Information (Name, Relationship to Child, Email Address, Phone Number)

Answer required for "Emergency Contact Information (Name, Relationship to Child, Email Address, Phone Number)"

Child 3: Name

Answer required for "Child 3: Name"

Child 3: Grade and Homeroom Teacher

Answer required for "Child 3: Grade and Homeroom Teacher"

Child 3: Allergies

Answer required for "Child 3: Allergies"

Days Expected to Use After School Child Care (check all that apply)

Answer required for "Days Expected to Use After School Child Care (check all that apply)"

Monday

Tuesday

Wednesday

Thursday

Friday

Please fix the highlighted areas below before submitting.

Morning Care and After-School Child Care Registration Form