Parent Work Schedule Submission Form
Schedules must be submitted no later than Wednesday prior to the week that care is needed to guarantee coverage. There are no exceptions to this expectation.
Parent/Guardian
*
First Name
Last Name
Child's Name
*
First Name
Last Name
More than 1 child?
Yes
No
Child's Name
First Name
Last Name
Child's Name
First Name
Last Name
Child's Name
First Name
Last Name
Child's Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Is this your first time submitting your work schedule or an update?
*
First time
Schedule Update
Work Schedule Type
*
Please Select
Fixed Monthly Schedule
Fixed Weekly Schedule
Variable/Flexible
Part-Time
Workdays for the week/month
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Drop-off Time
*
Hour Minutes
AM
PM
AM/PM Option
Pick-up Time
*
Hour Minutes
AM
PM
AM/PM Option
Does your work schedule change?
*
Daily
Weekly
Monthly
Other
Additional Note:
Upload a copy of your official schedule
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Agreement
*
I understand that this information will be used by HWC Child Care Facility to coordinate attendance and staffing. I will notify the center if my schedule changes.
Signature
*
Date
*
-
Month
-
Day
Year
Date
Continue
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