Parent Engagement Series Child Care Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Free child care will be available during the presentation and is provided by CHS National Honor Society students. By using this service, you agree to the following: your child's attendance is completely voluntary and that the Cedarburg School District, Cedarburg High School, Cedarburg High School staff, National Honor Society, or NHS members are not liable for any harm that may occur to your child as a result of participation. You agree that you have notified event organizers if your child has any known health conditions or allergies. You are allowing CHS staff to contact emergency services on your child's behalf should they deem necessary.

If you have questions regarding child care, please contact Kyle Sondergard at ksondergard@cedarburg.k12.wi.us.

Email *

Policy Agreement *

I agree to the above conditions and my child(ren) will attend.

Required

Your Name and Contact Information: *

Emergency Contact Information: *

Name and Age of Child(ren) attending: *

Known Allergies or Health Conditions of Above Child(ren): *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Cedarburg School District. Report Abuse

Forms