Personal Time Request Form

Extended Care GRADES Drop-in Request Form

NOTE: You may NOT assume that your student can stay for Extended Care UNTIL you receive an Approval Email.
THIS FORM IS FOR GRADES STUDENTS ONLY

**Sign-ups should be requested at least 24 hours in advance**

Same Day Drop-ins Requests are discouraged and may be denied due to the program being full.

You may NOT assume that your student can stay for Extended Care UNTIL you receive an Approval Email.

Please complete a separate form for each student for any Drop-In Extended Care needs.

Drop-In Rate is $8.25 for every 30 minutes.

Grades students will be picked up at the Atrium on the Grades side.

For 12:30-3pm on Thursdays only, First Graders will need a packed lunch and will be picked up outside the Rose Building on the EC side.

Please also be mindful of arriving no later than 5:30pm to avoid Late Pick-up Fees which are $1 per minute and will be charged to your HomeRoom account.

Laura Danner is our After School Coordinator. You may contact her at ldanner@waldorfct.org with any programming questions.
Your Name*

First NameLast Name
Your Email*
example@example.com
Child's First Name*
Child's Last Name*
Grade*
Please select date of drop-in*

MonthDayYear
Date
Select Extended Care Option*

Before SchoolAfter School
Expected pick-up time:
Please select time for drop off or pick-up:*

7:30am3:00pm (Thursday 1st Grade Only)4:30pm5:30pm
Who will be picking your child up?*
Relation to student*
Mobile Number for person picking up*
Please enter a valid phone number.
Please share any allergies or special instructions that Extended Care Teachers should be aware of.*
Additional Comments
Should be Empty:

Extended Care GRADES Drop-in Request Form