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.
Parent/Guardian Name *
Your answer
Best Contact Phone Number (Including Area Code) *
Your answer
Contact Email Address:
By entering an email address here you will be sent a copy of your interest form.
Your answer
Child's Name *
Your answer
Are you interested in enrolling a sibling as well?
Child's Grade in 2018-2019 School year. *
Your answer
Are you currently enrolled in the Placer Hills Union School District *
Are you currently enrolled in the Owl's Nest After School Program *
Address *
Your answer
Child Care Needs
Currently, in the 2017/2018 school year, the rates are as follows: Full time M-F (SHS - $75/Week, WHS - $38/Week), Part Time, (SHS - $16/Day, WHS - $8/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 for the 2018/19 school year.
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.
Submit
Never submit passwords through Google Forms.
This form was created inside of Placer Hills Union School District. Report Abuse - Terms of Service