CCA's Before/After School Care Sign Up
Please complete this form if one or more of your children will be using CCA's Before or After School Care services for the 2023-2024 school year. (This sign up does not include the "Drop In" service for last minute child care situations.)
Sign in to Google to save your progress. Learn more
Email *
Name of parent/guardian completing this form: *
Our family will be using before school care anytime from 7:30 am to 8:15 am: *
If you answered "Yes" to before school care, please provide the full names of the children in your family that will be using before school care:
Our family will be using after school care anytime from 3:30 pm to 4:30 pm: *
If you answered "Yes" to using after school care only from 3:30 pm to 4:30 pm, please provide the full names of the children in your family that will be using after school care:
Our family will be using after school care anytime from 3:30 pm to 5:30 pm: *
If you answered "Yes" to using after school care from 3:30 pm to 5:30 pm, please provide the full names of the children in your family that will be using after school care:
Before and After School Care Agreement:  I understand that before and after school care for my child(ren) is invoiced and paid for on a monthly basis through my FACTS financial account. My child will automatically be re-enrolled in before or after school care unless I notify the school office by the 25th of the previous month in order for the office to update my FACTS financial account. Otherwise, I will be automatically re-enrolled for the next month. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy