BASC (Before and After Care)

The Before and After School Center 2025-2026 hours of operation are from 6:30 to 7:10 am and 2:30 to 6:00 PM.  Center opens on the first day of school.

Sign in to Google to save your progress. Learn more
Email *
Family Last Name
1st Child Name:
Birth Date:
MM
/
DD
/
YYYY
Grade *
2nd Child Name:
Birth Date:
MM
/
DD
/
YYYY
Grade
Clear selection
3rd Child Name:
Birth Date:
MM
/
DD
/
YYYY
Grade
Clear selection
4th Child Name:
Birth Date:
MM
/
DD
/
YYYY
Grade
Clear selection
Mothers Name
Address
Cell Phone
Home Phone
Fathers Name
Address
Cell Phone
Home Phone
People Authorized to pick up your child(ren):
1. Name
Phone
Relationship
2. Name
Phone
Relationship
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Siena Catholic Schools of Racine.

Does this form look suspicious? Report