Owls Nest After School Care Interest Form
Please fill this form out if you are interested in our afterschool childcare at Sierra Hills, and school personnel will contact you at the earliest possible convenience.
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Parent/Guardian Name *
Best Contact Phone Number (Including Area Code) *
Contact Email Address:
By entering an email address here you will be sent a copy of your interest form.
Child's Name *
Are you interested in enrolling a sibling as well?
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What year are you seeking care for? *
Child's Current Grade Level: *
Are you currently enrolled in the Placer Hills Union School District *
Are you currently enrolled in the Owl's Nest  Program *
Address *
Child Care Needs
Currently, the rates are as follows: AM only - $15/day, 4 hours or less in one day - $25/day, greater than 4 hours in one day - $35/day
Please understand that these rates are subject to change prior to the start of the year.
Based on this information, please fill out to the best of your ability what you feel your needs will be.
(Rates and times are subject to change)
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?
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