After School Care
PARENTS: Please complete one separate form for EACH CHILD in your household who will be participating in After School Care for the month of MARCH. ***Please note: the cost per child is $6/hour, rounded to the nearest :10 minutes***
Email address *
Name of parent/guardian completing form: *
Primary Contact Phone #
Child's Name: *
Child's Grade: *
What MARCH dates will your child be participating in After School at SACDS? *
Please select all that apply, and approximate pickup time:
Before 3 pm.
Between 3-4 pm.
Between 4-5 pm.
Between 5-6 pm.
Monday, March 2
Tuesday, March 3
Wednesday, March 4
Thursday, March 5
Friday, March 6
Monday, March 9 TACO TUESDAY!
Tuesday, March 10
Wednesday, March 11
Thursday, March 12
Friday, March 13
Tuesday, March 17 *Irish Dance Starts, 3:30
Wednesday, March 18
Thursday, March 19
Monday, March 23
Tuesday, March 24 *Irish Dance, 3:30
Wednesday, March 25
Thursday, March 26
Friday, March 27 FOOD FRIDAY!
Monday, March 30
Tuesday, March 31 *Irish Dance, 3:30
The following are days when there is either a shortened day or no classes scheduled. In the space below, please indicate the days and hours you will need child care on these days. To ensure appropriate staffing, please notify us no later than two weeks prior to the days listed below. We are only able to provide this program pending a minimum amount of children enrolled each day. *
Before 12 noon
Before 1 p.m.
Before 2 p.m.
Before 3 p.m
Before 4 p.m.
Before 5 p.m.
Before 6 p.m.
March 16 (HALF DAY) Science Museum, 12 n
March 20 (NO SCHOOL) ZooMobile, 9 a.m.
Please list the names of anyone who may be expected to pick up your child: *
Is there anything else you would like us to know about your child? *
Please list the names of any siblings who may also be participating in After School: *
Any other comments?
A copy of your responses will be emailed to the address you provided.
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