Before School Care Registration
Please complete the form and hit submit. Your FACTS account 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.
Format: (000) 000-0000.
Father's Cell
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency name and phone number
Child #1 Name
Child #1 Grade
Child #2 Name
Child #2 Grade
Child #3 Name
Child #3 Grade
We will need Before Care Weekly
We need this service every week
We will only need this on occasion
If needing this regularly, which Day(s) are needed:
Monday
Tuesday
Wednesday
Thursday
Friday
Please share any additional information which you feel might need
Submit Survey
Should be Empty: