Saturday Care Registration Form 2025

Saturday Care Registration Form

6 weeks - 12 years old 140 Graham Rd. (PLC3) $40 per day
Parent's Name*

First NameLast Name
Parent's E-mail Address*
example@example.com
Parent's Cell Number*
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Child's Age*
Child's Allergies (please list or type none)*
Child Swimming Abilities*

My child has NO allergies or intolerances and can eat the programs provided snacks and meals.My child HAS allergies or intolerances and CANNOT eat the programs provided snacks and meals.
Please list any siblings currently enrolled at PLC:
Child's Registration Date(s)*
Notice*

I understand by signing my child up, I will be charged $40 per child. If my child does not attend after I have registered, I am still responsible for the registration fee of $40 per child. If you cancel at least 5 days in advance, we can cancel your registration and you will not be charged.
Parent Signature*

Clear
Items to bring:

- Blanket

- Water cup

- Extra Change of clothes

- Diapers if needed

- Pre-made bottles if needed

- Snacks if needed

- Lunch/Dinner if they cannot have pizza (***If your child has any food allergies, we cannot provide any meals or snacks at any time)

***All items should be labeled with first and last name.

***We will not utilize items left at the center, as teachers account for them for the rest of the week.
Should be Empty: