INQUIRY: EXTENDED DAY CHILD CARE 2021-2022
Before and After School Extended Day Child Care is available for students attending:
Dentzler, Green Valley, John Muir, Parma Park, Pleasant Valley, Renwood, Ridge-Brook, and Thoreau Park.

After School Extended Day Child Care is available for students attending Greenbriar and Shiloh Middle School. (Child Care is not offered at Hillside Middle School.)

ONLY the Children’s Services Office can confirm that there is an open EDC slot for your child in a program. Spaces are limited and are filled on a first-come, first-served basis. Our office will contact you to confirm space availability and to provide you with enrollment procedures.

Please complete and submit one form per child.
Sign in to Google to save your progress. Learn more
Email *
Child Care Tuition Fees for 2021-2022                                      
REGISTRATION FEE (non-refundable):  $30.00 per family
TUITION DEPOSIT (due with registration): AM or PM service $50.00 / AM & PM Service $100 per child                                                                                

                                                                                                      Per Week
K-4 Before School Program (Opens at 7:00 AM):     4 or 5 Days = $40.00 per child
                                                                                       1 to 3 Days = $37.00 per child

K-7 After School Program (Closes at 6:00 PM):       4 or 5 Days = $49.50 per child
                                                                                       1 to 3 Days = $44.00 per child

K-4 Before/After School Program:                             4 or 5 Days = $83.00 per child
                                                                                       1 to 3 Days = $74.00 per child
                                                                                       

*Note - CHILD CARE SERVICE PAYMENT POLICY  
Tuition payments are due in full by the 15th of the month PRIOR to the child care service period.
Tuition for August/September child care service period (Aug 23 - Sept 24) is due on August 16, 2021.
Students will not be permitted to begin attending EDC until tuition is paid.

Child's Name *
Gender *
Birth Date *
MM
/
DD
/
YYYY
Grade as of 8/1/2021 (Use 0 (zero) for Kindergarten) *
Parent/ Guardian #1 Name *
Parent/ Guardian #2 Name
Home Address *
City/Zip *
Home Phone Number
Parent #1 Cell Phone Number *
Parent #1 Work Phone Number *
Parent #2 Cell Phone Number
Parent #2 Work Phone Number
The school my child will be attending for the 2021-2022 school year is: *
I am inquiring about a spot in the indicated EDC Program at the beginning of the 2021-2022 school year. (Before School is not offered at Middle Schools. Families with a rotating schedule must enroll Full Time.) *
IMPORTANT: I understand submission of this form is only an inquiry on child care availability. I will be contacted to confirm my child's slot and to pay the required registration fee and deposit. *
Thank you!
We appreciate your interest in EDC and look forward to serving your family.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Parma City School District. Report Abuse