After School Care Request Form

Christ the Lord Lutheran School (262-782-3040)

Hourly Rate: $5.00; Additional Sibling: $2.50. Invoices are emailed on a monthly basis.

    Midweek Lenten Worship Services

    Families attending the (4:30 p.m.) services are offered a discounted rate of $2.50 during the time-frame of (3:20 p.m. – 4:30 p.m.).

    Parents are responsible to provide snack (nut-free) for their student.

    Please submit a separate request form per student.

    Student

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    Request

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    Reoccurring Schedule Request

    Indicate a specific schedule for your child care needs throughout the school year. Submit a new request if your schedule changes.
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    Parent/Guardian Information

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    Other Person(s) to pick up student

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