Kids Care Sign Up
My child/children will be participating this year in the Kids Care program at Stark County Elementary.
1st Child's Name: *
Your answer
1st Child's Class:
2nd Child's Name:
Your answer
2nd Child's Class:
3rd Child's Name:
Your answer
3rd Child's Class:
4th Child's Name:
Your answer
4th Child's Class:
5th Child's Name:
Your answer
5th Child's Class:
Parent(s) Name(s) *
Your answer
Parent(s) Phone Number(s) *
Your answer
Preferred Email Address
Your answer
Emergency Contact Name and Phone Number *
Your answer
List names of non-parents who may pick up your child(ren) from Kids Care:
Your answer
Special Notes or Concerns:
Your answer
Submit
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