Pre Registration for Extended Care

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for pre-registering for our Extended Care Program for the Week of September 28th through October 2nd. If you have already indicated that your Extended Care use is regular and consistent , there is no need of filling out this form. Planning in advance is necessary for the health and safety of all!

Your name: *

Your email address: *

Your child(ren)'s name(s): *

Your child(ren)'s grade(s): *

Small Wonders (PK3)

PK4

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Required

For the Week of September 14th - September 18th my child(ren) will be attending (please check all that apply): *

Monday, September 28th- Morning Extended (arriving at school sometime between 6:30am and 7:30am)

Monday, September 28th- Afternoon Extended (leaving school sometime between 3:00pm and 5:30pm)

Tuesday, September 29th - Morning Extended (arriving at school sometime between 6:30am and 7:30am)

Tuesday, September 29th- Afternoon Extended (leaving school sometime between 3:00pm and 5:30pm)

Wednesday, September 30th- Morning Extended (arriving at school sometime between 6:30am and 7:30am)

Wednesday, September 30th- Afternoon Extended (leaving at school sometime between 3:30pm and 5:00pm)

Thursday, October 1st - Morning Extended (arriving at school sometime between 6:30am and 7:30am)

Thursday, October 1st - Afternoon Extended (leaving school sometime between 3:00pm and 5:30pm)

Friday, October 2nd - Morning Extended (arriving at school sometime between 6:30am and 7:30am)

Friday, October 2nd - Afternoon Extended (leaving school sometime between 3:00pm and 5:30pm)

Required

Thanks so much for making your Extended Care Reservation. Please submit here any questions that you might have and we will get back to you with an answer!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of St. Francis Xavier School. Report Abuse

Forms