Extended Care 2024-2025
Name
First Name
Last Name
Email
example@example.com
Cellphone
Please enter a valid phone number.
How many children are you pre-registering
Please Select
1
2
3
4
5
6
7
8
9
10
When you need extended care this week? Morning Extended Care is from 7:00 am to 7:55 am; Afternoon Extended Care begins 30 minutes after dismissal.
Mornings
Afternoon
Morning & Afternoon
After Afterschool Clubs/Activity (4:20 pm)
Morning & After Afterschool Clubs/Activity (4:20 pm)
What time do you plan on picking up your student(s)
Hour Minutes
AM
PM
AM/PM Option
What is the full name of the student(s) you are preregistering for extended care. (Please separate sibling by comma). Example: Gerald Johanssen (6th), Susan Forman (1st)
What grade is your student? (For multiple children check all that apply)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
What days this week will you need Morning care? (check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
What days this week will you need Afternoon care? (check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Are there any comments or questions you have about extended care? For fastest results please email Dyane Mathias at dmathias@acseht.org
Submit
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