Summer Daycare Sign Up Form

Please plan on my child for Summer Childcare 2011:

Child’s Name _______________________________Parent’s Name___________________________

Home Address____________________________E-Mail______________________________________

City _____________________________________________________State_______ Zip _____________

Home Phone Number_______________________________ Cell _____________________________

For staffing purposes only, please indicate the approximate times and days your child would be attending childcare during a typical week:

Monday_______Tuesday________Wednesday________Thursday_______Friday________

Please return this slip to the Early Childhood office. Thank you

SUMMER CHILDCARE

IMPORTANT INFORMATION

$3.75 per hour

4 hour per day minimum

No registration fee

Breakfast is available for $1.75

Late pick-up is $3.00 per minute after close for each child.

Admission, tickets, or special activity fees will be billed with your childcare fees. Watch activity schedule for any events that require spending money. (i.e. McDonald’s, gift shops)

Attendance calendars must be submitted by Friday before the week that childcare is to be scheduled.

Any changes to your child’s schedule must be made by Friday of the week before childcare is needed.

If your child does not attend as scheduled, and we have not been notified of the expected absence by Friday of the week before, you will be responsible for any childcare hours as scheduled.

Drop-in fee is $7.00

MasterCard, Visa and Discover cards are accepted.

Your account must be kept current to insure your continued use of the program.