22-23 Oak Grove Cares Registration Form
We are excited to provide the Before and After Care Program at Oak Grove School! We look forward to working with you and providing you with a low cost service for your needs. This registration form is a starting point so that we can identify who is interested in the program and the staffing we may need for the upcoming year.  This year, OG Cares will only be offered through the age of 12 years old, 6:45 am to School Start / School End to 5:30 pm (No exceptions).  Please plan accordingly as we cannot adapt to the numerous work schedules of those seeking enrollment. The email below is for the person completing the form.
Email *
Compliance Statements

Board Policy #8:30 - No person on school property or at a school event (including visitors, students, and employees) shall perform any of the following acts: Unless specifically permitted by State law, possess a weapon, any object that can reasonably be considered a weapon or looks like a weapon, or any dangerous device.


Potential OG Cares parent or guardian, be advised and understand that the OG Cares facility and program are not licensed or regulated by the Department of Children and Family Services (DCFS) and is a Licensed-Exempt Day Care Center (761).


Student #1 Last Name, First Name *
Student #1 Birthdate *
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Student #1 Current Grade *
Student #2 Last Name, First Name (if applicable if not move to the next section)
Student #2 Birthdate
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YYYY
Student #2 Current Grade
Parent(s) / Guardian Information / Contact Order
The individual completing this form and parent / guardian contact #2, are authorized person(s) to pick up the above student(s) in the event of a family emergency, routine or early pick-up, or unexpected closure of the Oak Grove facility.  In the event that the Oak Grove Cares Coordinator or Assistant need to get ahold of you for an emergency situation or illness, the order of calling will be #1 Parent / Guardian cell phone (1) and then work phone (2). #2 Parent / Guardian cell phone (1) and finally work phone (2) will be called if #1 parent is not reached if applicable.  If contact cannot be made with Parent 1 or 2, emergency contacts will be notified according to priority of contact listed within TeacherEase, so ensure that your emergency contacts are up to date in the system. (Photo ID's will be required at time of pick-up for all emergency contact pick ups)
#1 Parent / Guardian First and Last Name *
Student(s) - #1 Parent Guardian Physical Address (City and Zip only if different  from Bartonville, IL 61607) *
#1 Parent / Guardian Cell Phone *
#1 Parent / Guardian Work Phone (3) *
#1 Parent / Guardian Email Address if same as form email please put "Same" *
#2 Parent / Guardian First and Last Name (if not applicable just enter N/A) *
#2 Parent / Guardian Physical Address (if split household or joint custody, if same state "same" or N/A if this does not apply)
#2 Parent / Guardian Cell Phone or N/A
#2 Parent / Guardian Work Phone or N/A
#2 Parent / Guardian Email Address or put same or N/A
Number of Days & Type of Days
Indicate below the number of days you are requesting the student(s) attend and if you would like before care only, after care only, or both before & after care.  As you can imagine, schedules can be very complex so it is very important to communicate schedules with the OG Cares Coordinator as soon as possible and when things may change throughout the year.
Which days of the week will student(s) attend? *
Required
When will the student(s) attend on the days specified above? *
Required
Do you anticipate utilizing this service for the entire school year? *
Do you anticipate utilizing SIP day services for the additional fee for those days? *
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