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Extended Care Enrollment
Student Name
*
Add sibling(s)
*
Add sibling(s)
Student Name
Student Name
Parent/ Guardian Name
*
I would like to sign up for
*
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
Desired Days in Before Care
Monday
Tuesday
Wednesday
Thursday
Friday
Desired Days in After Care
Desired Days in After Care
Monday
Tuesday
Wednesday
Thursday
Friday
Submit
