Shirley Hills AC 19-20 Waiting List Request Form
Shirley Hills is currently at a wait list status for morning Adventure Club only. If you need after school care, please register for that portion of care through our online registration system at
Email address *
What is your child's name? *
Your answer
What grade will your child be in for the 19-20 school year? *
What care would you like to be added to the waiting list for? Please note that only before school care is currently full and you should complete the registration process in Eleyo after you complete this form if you also need after school care. *
Does your child receive any special services during the school day (speech, OT, special education)? If yes, please indicate what they receive services for. *
Your answer
What is the best phone number to reach you at? *
Your answer
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