Emergency School Age Care Request
We will be providing school-age care services during this time for children of Tier I Critical Workers. This care is intended for extreme circumstances in which no parent or guardian is at home, due to employment as a critical worker. If it is a two-parent household and one is not a critical worker, children will not be accepted in the services. The guidelines are as follows:

This school-age care must be provided for district or school-enrolled school-age children age 12 and under who are children of critical workers in Tier I of the state critical worker list. Children of Tier I workers only will be cared for at no cost during the typical school hours.

The Tier I list of eligible children is below.

Tier I:
Healthcare and public health
Law enforcement, public safety and first responders  
Food and agriculture  
Judicial Branch (essential services)  
National Guard (activated under a Governor Executive Order)
Educators in pre-K through grade 12 settings  
School staff caring for children of critical workers  
Child care and school-age care providers

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Email *
Name of Child *
Parent/Guardian #1 Name *
Parent/Guardian #1 Phone Number *
Parent/Guardian #1 Place of Employment *
Parent/Guardian #2 Name *
Parent/Guardian #2 Phone Number
Parent/Guardian #2 Place of Employment *
Requested Days of School-Age Care (8:00am-3:05pm) **Please note, Friday, November 6th care will only be offered until 12:30pm due the the prescheduled early dismissal** *
Required
We will need school transportation *
Submit
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