Editing previous response:

Please fix the highlighted areas below before submitting.

Before/After Care Sign Up

Logo

Please fill out the following information at least two week before you will need child care. This will allow us to ensure proper staffing levels are available. Within a week before your scheduled care, you will receive an email containing your child's PIN number for signing in and out, along with payment information.

With our new app, you'll be able to view the days your child is in Before/After Care and check your account balance. You will be in charge of who can pick up your child with adding pick members on the go.

Thank you for your cooperation!

Student Information

First Name*

Answer Required

Last Name*

Answer Required

Grade*

Answer Required

Date of Birth*

Answer Required

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Parent Information

Parent / Guardian 1 First Name*

Answer Required

Parent / Guardian 1 Last Name*

Answer Required

Parent / Guardian 1 Email*

Answer Required

Parent / Guardian 1 Phone*

Number Required

Parent / Guardian 2 First Name

Answer Required

Parent / Guardian 2 Last Name

Answer Required

Parent / Guardian 2 Email

Answer Required

Parent / Guardian 2 Phone

Number Required

Programs

Before Care*

Answer Required

Yes

Kindy Care M-TH Pick up at 5pm*

Answer Required

Yes

Friday After Care Pick up at 4pm

Answer Required

Yes

Confirmation Email

Confirmation Email *

Email Required