Interest Form for 2022-2023 Shoreline Children's Elementary Extended Care

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NOTE: Submission of this form is a request - it does not guarantee services. This form needs to be filled out for each student requesting care.

Welcome to the Shoreline Elementary Extended Care Program! We appreciate you considering us for your childcare needs and look forward to working with your student and family.

Please complete this form if you are interested in being on the waitlist for extended care. If a spot becomes available you will be contacted via email with the offer of enrollment and the next steps.

Enrollment will occur online via Jotform, directions will be provided for families.

Program availability at a particular site is based on enrollment and availability of qualified staff. Morning enrollment is measured separately from afternoon enrollment, and the program may be offered for one session even if it is not available for the other.

**We anticipate running on-site extended care at all the following schools, Briarcrest, Brookside, Meridian Park, Ridgecrest, Highland Terrace, Syre.

Other K-5 schools will be served by the YMCA, this includes, Echo Lake, Cascade K-8, Lake Forest Park, and Parkwood. For more information and to add your name to an interest list, please visit the YMCA’s Before and After School Enrichment page, https://www.seattleymca.org/programs/child-care-and-school-enrichment/school-enrichment/shoreline

Questions? Please give us a call at 206-393-4350, or check out our Enrollment FAQs: https://www.shorelineschools.org/Page/6337

NOTES:
-Submission of this form does not guarantee services.
-A separate form is required for each child you are requesting care for.
-Currently Enrolled is defined as a student currently enrolled in Shoreline Children's elementary extended care

Email *

I am confirming the above email is the correct email to notify me with enrollment information. *

Yes

Student's First Name *

Student's Last Name *

Full Name of enrolling parent/guardian (First Name Last Name): *

Parent/Guardian Phone Number: *

Student's Grade in 2022/2023 School Year *

Is your student currently enrolled in Extended Care at an Elementary site? *

To be considered a currently enrolled, your student must be currently enrolled in elementary extended care through Shoreline Children's.

Yes

Is this student a sibling of a currently enrolled student in Extended Care? *

Yes

School your student will attend in Fall 2022: *

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