JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Extended Care Reservation Form
Please complete if your child is planning to use Extended Care the week of 8/31/2020-9/3/2020. Please note: Extended Care will be held in the 6th grade classrooms. Extended Care will end at 5:00 p.m. daily. Please pack a dry snack and water only for your child. Students may bring personal items/toys in a plastic shoe box with a lid clearly labeled with their name. Thank you. Mrs. Bozzi -
class2b@stjaneschool.com
or Ms. Johnstone
kindergarten2@stjaneschool.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Family Last Name
*
Your answer
First Name (of all your children attending)
*
Your answer
Grade (s)
*
Your answer
I plan to use Extended Care the following days this week:
*
Tuesday, 9/8
Wednesday, 9/9
Thursday, 9/10
Friday, 9/11
Required
Because of the location of Extended Care this year, we will dismiss on the 1/2 hour. If you are running late, please come at the next 1/2 hour interval. Thank you. I plan to pick up my child at the following time
*
3:00 p.m.
3:30 p.m.
4:00 p.m.
4:30 p.m.
5:00 p.m.
Emergency Contact with phone number please -- someone who can pick up child immediately if necessary.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St Jane Frances de Chantal.
Report Abuse
Forms
