How Can We Help
We are looking at completely redefining our hours to accommodate the hours that kids may not be in school. We have computer access and can be a place where online participation in school can take place as well as a safe, reliable and fun spot for kids in our community to be while parents are at work.

Unfortunately we are limited in our occupancy BUT we will figure something out with your help.

Thank you
Sign in to Google to save your progress. Learn more
Email *
Tell us a little about what you're facing with the new schedule and how we could help? *
Child's Name *
Child's Age *
2nd Child's Name
2nd Child's Age
Clear selection
3rd Child's Name
3rd Child's Age
Clear selection
What days and times do you most need coverage? *
Please select all that apply
Morning (8-11am)
Midday (12-3pm)
Afternoon (3-6pm)
Evening (after 6pm)
Does your child have a group (Bubble) of between 3 and 10 that you think he/she would be willing to hang out with at the Center?  Ideally we will have groups  (bubbles) that stay the same. We will ask for some help coordinating. *
Please check the resources you'd like from the Center during this time. Check all that apply. *
Could your child use some mental health support or counseling?
Clear selection
Anything else you'd like to share with us about how we can help?
Clear form
Never submit passwords through Google Forms.
This form was created inside of EEMC2. Report Abuse