Before School Childcare Registration
* This program begins at 7:30am and ends at 8:00am, Monday - Friday.
* This program is offered to PK - 5th grade students.
* PK - 2nd grade participants will be escorted from SPS Gym to their classrooms at 8:00.
* 3rd - 5th grade participants will be released to walk to their classrooms.
* A SPS staff member will be facilitating this program.
* Cost is $200 per child.
* SPS Staff members must complete registration form, but cost is waived.
* Payment is due to office within a week of registration.
* Preferred payment is with a CHECK payable to SEVEN PEAKS SCHOOL, but cash is acceptable as well.
* Complete one registration per child.
* AFTER SCHOOL CHILDCARE is provided by Bend Parks & Rec, KIDS, INC.
* Questions, please contact Deb Mullen at dmullen@sevenpeaksschool.org.
Student's Last, First Name *
Your answer
Student's Grade Level (PK, K, 1st, 2nd, 3rd, 4th) *
Your answer
1st Emergency Contact Name (first, last) *
Your answer
1st Contact Relationship to Child *
Your answer
1st Emergency Contact Phone # (xxx) xxx-xxxx *
Your answer
1st Contact Email Address *
Your answer
2nd Emergency Contact Name (first, last)
Your answer
2nd Contact Relationship to Child
Your answer
2nd Emergency Contact Phone # (xxx) xxx-xxxx
Your answer
2nd Contact Email Address
Your answer
Explain any allergies or medical conditions that would be helpful. *
Your answer
Does your child have medications stored in the office? *
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