Request to Enroll in ASD Childcare Services

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Childcare services will be provided by ASD for children in grades K-12 of First Responders, medical/health professionals, essential district staff, children with critical needs, and families qualifying for McKinney-Vento services.

Childcare will be offered at Island View Elementary for all students, Monday-Friday, 9:00-3:30. We are unable to offer transportation for students.

Due to health/safety concerns and limited staff, we will not be able to:
*admit students arriving after 9:15am,
*allow for early dismissal (unless an emergency), or
*permit parents/adults to enter the building

For health purposes, do not send items from home with your children, such as electronic devices, toys, and stuffed animals. Staff will assist students with practicing appropriate social-distancing and other health precautions as part of the daily program.

District staff will conduct a brief health screening for every student between 8:45-9:00am before they enter the building. Please plan to stay with your child until they have been approved to enter the building each day.

Breakfast and lunch will be provided free of cost to all. Please plan for your child/ren to eat the food served and refrain from sending food from home unless they have specific dietary needs/restrictions.

Pick up will be at 3:30 each day. Students will be dismissed from the front of the building.

Email *

List first and last name of FIRST child in your household who will utilize childcare services as offered by ASD during school closure. *

Indicate grade level of FIRST child. *

List first and last name of SECOND child in your household who will utilize childcare services as offered by ASD during school closure. If you do NOT plan to enroll a second child, write "N/A". *

Indicate grade level of SECOND child. *

List first and last name of THIRD child in your household who will utilize childcare services as offered by ASD during school closure. If you do NOT plan to enroll a third child, write "N/A". *

Indicate grade level of THIRD child. *

Enter FIRST and LAST NAME and GRADE LEVEL of any other K-12 children in your household who would also utilize ASD childcare.

Select all the days you anticipate to utilize childcare services for the duration of school closure. *

Monday

Tuesday

Wednesday

Thursday

Friday

Select all that apply.

First and last name of parent or legal guardian completing this form. *

First and last names of ALL persons authorized to pick children up from school. *

Please list first and last name of all child/ren who have permission to leave childcare WITHOUT being released to an authorized adult at the end of the day. *

Provide TWO phone numbers for parent/guardians (include area codes) *

Would you like district staff to contact you about your child's health, medical, or critical needs? *

Yes

If you are a first responder or health/medical professional, please briefly describe the nature of your work.

A copy of your responses will be emailed to the address you provided.

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