Extended Day Sign Up 2022-2023
Please use this form to register your student(s) for EDS’s Extended Day Program. Please sign each child up individually, there are spaces for up to 3 children. If you have questions or would like to make changes after submitting this form, please contact Karli Murray, the Director of Auxiliary Programs - kmurray@edsaugusta.com
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Email *
Child 1: Student First Name *
Child 1: Student Last Name *
Child 1: Student Grade *
Child 1: Number of Days Your Child Will Attend Extended Day (After School) *
Child 1: Which program will your child use? *
Child 1: Days of the Week *
Required
Child 2: Student First Name
Child 2: Student Last Name
Child 2: Student Grade
Clear selection
Child 2: Number of Days Your Child Will Attend Extended Day
Clear selection
Child 2: Which program will your child use?
Clear selection
Child 2: Days of the Week
Child 3: Student First Name
Child 3: Student Last Name
Child 3: Student Grade
Clear selection
Child 3: Number of Days Your Child Will Attend Extended Day
Clear selection
Child 3: Which program will your child use?
Clear selection
Child 3: Days of the Week
Will you need Early Bird Care (7-7:45am)
Clear selection
Parent/Guardian 1: Name *
Parent/Guardian 1: Email *
Parent/Guardian 1: Phone Number *
Parent/Guardian 2: Name *
Parent/Guardian 2: Email *
Parent 2/Guardian: Phone Number *
How would you prefer to be contacted when it is not an emergency? *
In the event we need to contact you about your child - a question about programming, lunch, snack, missing supplies, etc what is the preferred method of communication? In an emergency, we will use all means necessary to get reach you, a spouse/partner, or emergency contacts.
Emergency Contact: Name *
Please list someone other than the parent(s) listed above
Emergency Contact: Phone Number *
Emergency Contact: Email Address *
Who else can pick up your child? *
List as many as you would like, separate names with a comma, please include first and last names
Does your child have any allergies? *
May we apply bug spray and sunscreen when it is necessary with the weather? *
We use child friendly, natural products. If you would prefer to use products from home please pack in your child's bag and label.
Required
Please select “Yes” to indicate you have read the following statement and are ok with the conclusions it states: Regarding Bright From the Start - The Episcopal Day School’s after school program is exempt from Bright From the Start licensure due to the following criteria being met: Section 591-1-1.46(b)(2) and Section 591-1-1.46(b)(3). A copy of our exemption notification is posted in the front office, and in the Auxiliary Programs office. If you would like more information regarding the exemption please reach out to the Director of Auxiliary Programs. *
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