2019 Summer Child Care Registration
Please complete this registration form for each child who will be attending our summer child care program. Summer child care is available from June 10th until August 21st. ASA may potentially be adding days to the school calendar to make up days from all of those unplanned snow days. If this happens, our summer start date will need to be adjusted.

Non-ASA families: Child care dates reflect the ASA school calendar. You will need to adjust your child care needs according to our calendar of availabilty. The last day of summer care is August 21st.

Are you a new family to our child care program? *
Parent 1 First Name: *
Your answer
Parent 1 Last Name: *
Your answer
Parent 2 First Name:
Your answer
Parent 2 Last Name:
Your answer
Parent 1 Phone Number: *
Your answer
Parent 2 Phone Number:
Your answer
Parent 1 Email Address: *
Your answer
Parent 2 Email Address:
Your answer
First Name of Child Enrolling: *
Your answer
Last Name of Child Enrolling *
Your answer
Child's Birthdate *
Your answer
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