2025-2026 Early Stay Enrollment Form

2025-2026 Early Stay Enrollment Form
Due to staffing and space limitations, Early Stay is available only for working parents and their MRCA children beginning at 7:30 am each day of the week.

Thank you for understanding!
How many children would you like to register for Early Stay?*
(1) Child's Name*

First NameLast Name
(1) Child's Grade*
(2) Child's Name

First NameLast Name
(2) Child's Grade
(3) Child's Name

First NameLast Name
(3) Child's Grade
(4) Child's Name

First NameLast Name
(4) Child's Grade
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother/Legal Guardian Name*

First NameLast Name
Father/Legal Guardian Name*

First NameLast Name
Mother/Legal Guardian Email*
example@example.com
Father/Legal Guardian Email*
example@example.com
Mother/Legal Guardian Mobile*
Please enter a valid phone number.
Father/Legal Guardian Mobile*
Please enter a valid phone number.
Mother/Legal Guardian Work Phone*
Please enter a valid phone number.
Father/Legal Guardian Work Phone*
Please enter a valid phone number.
Mother/Legal Guardian Place of Employment*
Father/Legal Guardian Place of Employment*
Mother/Legal Guardian Occupation*
Father/Legal Guardian Occupation*
My child will attend Early Stay on the following days (please check all that apply):

MondayTuesdayWednesdayThursdayFriday
By submitting this form, I agree to be billed $100 in FACTS.
Should be Empty: