School Age Summer Child Care Survey
The following is a survey to gauge the need for summer childcare in our area.  Please fill out only if child care is needed for students currently in grades Prek-5. Available hours and cost are yet to be determined.  MUST HAVE A MINIMUM OF 10 CHILDREN DAILY.  Please reply by April 4.
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Email *
Parent Name *
Student Name *
Student's Current Grade *
Contact Phone Number *
Parent Email
Please list the earliest drop off time and latest pickup time childcare would be needed *
How ofter will you use the child care? *
Required
Please list any special needs or allergies your child may have *
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