BASE Interest Form for the 2022-2023 School Year

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If you are interested in having your child(ren) join the PCE BASE Program for the School Year of 2022-2023, please complete the attached form. We will have a lottery for all interested families in July. If your family is selected, you will receive a registration link for the August 9, 2022-June 30, 2023 School Year. You will have 2 weeks to complete the registration. If your registration isn't completed by the deadline, your space will be given to the next family in line. Due to the number of interested families, please make sure to arrange alternative childcare in case your family is not selected in the lottery.

Email *

Parent Name(s)

Child Name(s)

Child Age(s) and Birthday(s)

Child Grade(s) for the 2022-2023 School Year

Are you interested in the Before, After and/or Full Day Programs (please check all that apply)?

Before Care

After Care

Full Day

Are you planning on using BASE Full Time or Part Time

Full Time (5 Days Per Week)

Part Time (Less than 5 Days Per Week)

Clear selection

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