Beth Ami Nursery School Drop-in Request Form
Please fill this form out when needing care outside of your normal days or hours.
Child's Name *
Your answer
Parent Making Request *
Your answer
Class *
Date Drop-In Requested *
MM
/
DD
/
YYYY
Is Drop-In for the CORE School Day? ($50 for the day) *
Extended Drop-In hours requested
If you EITHER 1)Need only extended hours or 2) want to add extended hours to your CORE School Day drop in, please check boxes as necessary. Note: Drop-In Extended Care is billed by the full hour
1 hour
2 hours (AM Max)
3 hours
4 hours
5 hours (PM Max)
Extended AM Care ($10/hr)
Extended PM Care ($10/hr)
Comments
Your answer
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