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2023 School Age Child Care Summer
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Parent first and last name and phone number
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Your answer
Parent 2 first and last name and phone number
Your answer
Please list anyone who is authorized to pick up your child from care. Staff will ask for an ID until they know a person. Be sure anyone new has their ID with them.
Your answer
Please list 2 emergency contacts, name and phone number within 30 minutes of school. Parents are ALWAYS called first, this is in the case of an emergency only.
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Your answer
Is there anyone who is NOT authorized to pick up and warrants a call to law enforcement if they show up?
List name, relation to child and provide court documents.
Your answer
All fees will be paid utilizing the school's webstore, PierzSchoolsPayOnline.org and the credit card used for the registration fee will be charge on the Friday preceding the week of care.
Link to pay the registration fee is listed at the end of the survey.
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I agree to automatic payments the Friday prior.
I would like to set up an alternate plan.
Please give the name on the account in the school's webstore.
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Your answer
Please list a phone number if you want a call to set up payments online.
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Your answer
Please list which children registered have permission to watch PG movies.
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Your answer
Please list which children registered have permission to participate in walking fields trips in town such as parks, library etc
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Your answer
Please list which children registered have permission to wear the suncreen/bug spray you provide.
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Your answer
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