Childcare for Healthcare and Emergency/First Responders Form
Republic School District will offer free childcare for healthcare workers and emergency/first responders during their work hours who reside in the Republic School District while school is closed. Operating hours will be Monday through Friday of each week beginning Monday, March 23 between 6:30 a.m. and 6:30 p.m. at McCulloch Elementary. Kindergarten through 8th-grade students can participate. Only those pre-registered using the form link below will be accepted.

Breakfast, lunch and an afternoon snack will be provided each day. We do suggest that students with food allergies bring their own meals.

This service is designed for those working at hospitals, medical facilities, or blood banks who are directly engaged in the handling of the COVID-19 response during the time they are needed at work.  We are asking that individuals refrain from using this service unless they are directly involved in the COVID-19 response actions at a medical facility. These restrictions will allow us to have the capacity to best serve our medical community in fighting COVID-19.
 
***Please note that the last day for this program will be Thursday, May 21st.  Additional information regarding summer programming beginning Tuesday, May 26th will be available soon.***

DETAILS:
Location: McCulloch Elementary. 234 E. Anderson. Please enter through the second set of double glass doors on the west side of the building.
 
Contact: STRIPES 360 Office 417-735-3778. On the day of program 417-350-3385
             
Hours of Operation: 6:30 a.m. - 6:30 p.m. Monday - Friday
 
Activities: Students will enjoy STEAM activities (Science, Technology, Engineering, Arts and Mathematics), free play, group games, team builders and other special activities.
 
Cost: This service is being provided free of charge by the Republic School District and STRIPES 360 staff.
 
**Childcare is contingent on children being fever-free for 24 hours without the aid of fever-reducing medications. All children will have their temperature checked prior to entry by a school nurse. In addition, a school nurse will be on-site throughout the program day.

**We understand that schedules and circumstances are changing rapidly. However to assist us in maintaining proper staffing, and resources, please let us know if your child/children will not be attending on a day you have selected for care.



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Email *
Student 1 Name (Last, First) *
Student 1 Grade *
Student 2 Name (Last, First)
Student 2 Grade
Student 3 Name (Last, First)
Student 3 Grade
Student 4 Name (Last, First)
Student 4 Grade
Primary Parent/Guardian Name *
Primary Parent/Guardian Place of Employment and Occupation *
Primary Parent/Guardian Contact Phone Number *
Secondary Parent/Guardian Name
Secondary Parent/Guardian Place of Employment and Occupation *
Secondary Parent/Guardian Phone Number
Emergency Contact Name (Other than Parent) *
Emergency Contact Phone Number *
Secondary Emergency Contact
Secondary Emergency Contact Phone Number
Approved Pick-Up List
Please list anyone who is approved to pick up your student.
Does your student have a health concern, disabilty, behavioral or developmental need *
ie: allergies, special medical conditions or chronic health problems, etc...
If Yes, please explain
Is there anything additional we should know about your child?
Please select the dates your child(ren) will attend. *
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A copy of your responses will be emailed to the address you provided.
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