Before and After School Care Interest Form 2024 - 2025:  TK - 6th
We would like to thank you for your interest in our Before / After school program at Sierra Hills and Weimar Hills. Our program is designed to provide a safe, nurturing, and educational environment for children while their parents are away. 

To ensure that we can accommodate as many families as possible, we evaluate enrollment based on income eligibility. As we look at the interest and eligibility, we will prioritize families once our final structure is completed.  
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Income Eligibility Guidelines
For the 2024-2025 School Year, where do you believe your family will fall on the income eligibility chart above? *
Parent/Guardian Name *
Best Contact Phone Number (Including Area Code) *
Child's Name *
Child's Grade Level (2024-2025): *
Are you interested in enrolling a sibling as well?
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Are you currently enrolled in the Placer Hills Union School District.  *
Are you currently enrolled in the the Owl's Nest or Warrior Den Program (2023-2024) *
Address *
Will you need full time care? (M-F) *
Will you need part time care? (1-4 days per week) *
If you are selecting part time care, please select the possible day combinations or individual days needed.
Will you need morning care? *
Is there any other information that you feel we need to know?
Submit
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