UCS Summer School Age Childcare Pre-registration
• Completing the online form is not a confirmation of registration.
• Once families complete the form, a SACC representative will contact you to confirm registration and process your payment. Please have your credit card information prepared.
• If registration is full, you will receive an email to be placed on the wait list.
• Once payment is complete, you will receive a separate email with required paperwork.
• Completed paperwork must be emailed to sacc@uticak12.org before child attends care.

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I understand Summer care is full time enrollments only, with a 7-week commitment. Weekly rate of $225 per week/per student  Families are allowed 1 week of vacation with no penalty
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I understand that by completing this form I am "pre-registering" my child. I also understand that my child is not registered until payment is complete and I have received a confirmation email.   If spots are full, I understand I will receive an email only. *
Primary Payer Name (Last Name, First Name) *
Primary Payer Address (Street, City, State, Zip Code) *
E-mail address *
Primary Payer Phone Number *
Select which program you are pre-reigstering for: (if the spots are filled you will be placed on a wait list for that site) *
How many students do you need to register for Summer Care? (Children must have already completed Kindergarten through the completion of 6th grade) *
Does your student attend UCS schools during the school year? *
If you are an In District family, please list the school your student attends:
Has any of your students attended SACC in the past (summer or fall)? *
Will your student require medicine to be administrated on site? *
If yes, please explain below.  District paperwork is required to be on file and signed by a physician.   Please note: We are no longer allowed to administer Nebulizer treatments.
Student #1 Name (Last Name, First Name) *
Student #1 Grade (19-20 school year) *
Required
Student #2 Name (Last Name, First Name)
Student #2 Grade (19-20 school year)
Student #3 Name (Last Name, First Name)
Student #3 Grade (19-20 school year)
Student #4 Name (Last Name, First Name)
Student #4 Grade (19-20 school year)
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