After School Child Care 2023-2024 Waitlist

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Fill out the form to get on the 2023-2024 after school child care waitlist.

Please use the fillable form below to submit your information for our waiting list.

If you are experiencing any issues viewing the fillable form on this page, please email the following information to [email protected].

  • Parent’s Full Name
  • Child’s Full Name
  • Grade Child is going into for the 2023-2024 school year
  • Child’s Birth Date
  • Parent’s Phone Number
  • School Child Currently Attends
  • Full Time or Part Time? (Part Time = 3 Days or Less)
  • If Part Time, which days of the week do you need care?
  • Additional Children’s first and last names, ages, birth dates, and grade completing in the 2023-2024 school year

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