2021-2022 Castle Rock School Age Child Care Needs Survey
The Castle Rock School District is working to assess the child care needs of our school age families. In order to better understand how many families will need access to child care in the fall, we are hoping that you will take time to complete this brief survey about your family’s needs for the upcoming school year. The results of this survey will help us to explore options for school age child care including locations, operating hours, group sizes, and rates.

Please complete one survey per school age child. You will be prompted at the end of the survey to add additional children.

Thank you,
Ryan Greene
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Please list your name and email address: *
Please indicate which grade your child will be in for the 2021-2022 school year: (1st Child) *
The rates for school age child care are anticipated to be: Before school only (6:30-8:00am): $11.00, After school only (2:30-6:00pm): $15.00 Before AND after school: $21.00 Non-School days (full day 6:00am-6:30pm):$41.00 Please indicate the type(s) of care you anticipate needing for your child(ren).
Monday
Tuesday
Wednesday
Thursday
Friday
Before school only
After school only
Before AND after school
Non school day
School breaks
Does your child have an Individual Education Plan (IEP), Individual Care Plan (ICP), 504 Plan or health condition needing accommodations? (Please mark all that apply)
If you marked any of the above, please provide additional information about your child's needs, as well as possible accommodation(s).
Does your family qualify for child care subsidies based on your income?
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Do you have any other children that will need school age child care this fall? If yes, you will be directed back to the beginning of this survey to complete the questions for each additional child. *
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