Page 1 of 1
Extended Care Enrollment
Student Name
*
Add sibling(s)
*
Student Name
Student Name
Parent/ Guardian Name
*
I would like to sign up for
*
A
Before Care (7:30-8:15)
B
After Care (3:15-5:30)
C
Both
Desired Days in Before Care
Monday
Tuesday
Wednesday
Thursday
Friday
Desired Days in After Care
Monday
Tuesday
Wednesday
Thursday
Friday
Submit
