Owls Nest After School Care Interest Form 2023 - 2024
We would like to thank you for your interest in our Owls Nest program at Sierra Hills. Our program is designed to provide a safe, nurturing, and educational environment for children while their parents are away. 

To ensure that we can accommodate as many families as possible, we must prioritize enrollment based on income eligibility. Families who meet these guidelines (See Below) will have the first opportunity to enroll their children in our program. Once that process is complete, we will continue to fill the remainder of the spots, looking at order of enrollment, spaces available, and past enrollment.  

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Income Eligibility Guidelines
For the 2023-2024 School Year, where do you believe your family will fall on the income eligibility chart above? *
Parent/Guardian Name *
Best Contact Phone Number (Including Area Code) *
Contact Email Address:
By entering an email address here you will be sent a copy of your interest form.
Child's Name *
Are you interested in enrolling a sibling as well?
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Child's Grade Level (2023-2024): *
Are you currently enrolled in the Placer Hills Union School District *
Are you currently enrolled in the Owl's Nest Program (2022-2023) *
Address *
Will you need full time care? (M-F) *
Will you need part time care? (1-4 days per week) *
If you are selecting part time care, please select the possible day combinations or individual days needed.
Will you need morning care? *
Is there any other information that you feel we need to know?
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