Child/Children Attending*
Parent/Guardian Name*
First Name
Phone*
Email Field
No School Day*
Please select Non-School Days you would like to register for care.
December 26
December 27
December 28
January 18
March 11
March 12
March 13
March 14
March 15
April 1
May 10
May 24
Please send a confirmation email to the address below: