Before School Care Registration
Please complete the form and hit submit. You will be billed monthly by the Parish Business Office.
Parent Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother's Cell
Please enter a valid phone number.
Father's Cell
Please enter a valid phone number.
Emergency name and phone number
Child #1 Name
Child #1 Grade
Child #2 Name
Child #2 Grade
Child #3 Name
Child #3 Grade
Number of days needed per week: (1-5)
Day(s) needed:
Monday
Tuesday
Wednesday
Thursday
Friday
We will only need Periodic drop in Before Care:
Yes, just periodic
No, we will need it regularly
Please share any additional information which you feel might need
Submit Survey
Should be Empty: