2025 - 2026 Duniway All Stars Before & After Care Registration Form

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

7700 SE Reed College Place, Room 5
Portland, Oregon 97202
(503) 774-9963
www.daschildcare.org

Please note that the email you enter below is the primary we will use for correspondence and billing (should you secure a spot in DAS).

Email *

Parent / Guardian Name *

Phone number *

Street Address *

Child's Name *

Child's Birthday *

YYYY

Grade *

The grade your child will be in during the school year for which you are applying for care.

Kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

Required

Are you a DAS Family? *

A family who is either currently registered and attending DAS programming or who has previously registered and attended DAS programming.

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Duniway All Stars.

Does this form look suspicious? Report