Immanuel Care Sign-up Form 2026-27

Immanuel Care Sign-up Form
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

Child 1
First Name
Last Name
Grade-level group:
K-8 Which programs will your child be using?
Preschool Which programs will your child be using?
Will this child be attending Immanuel Care on a consistent schedule, or will it vary?
Date Selection

Please select the start and end dates for the times entered above
Consistent schedule

*Current Day cannot be selected* Please email immanuelcare@immanuelcl.org if your child will be attending as a walk-in today. Three walk-ins are allowed per trimester, after which a higher rate will be applied.
Start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
K-8 Before-school care
Approximate drop-off time a.m.
K-8 After-school care
Approximate drop-off time p.m.
Approximate pick-up time p.m.
Preschool Before-school care
Approximate drop-off time a.m. (Preschool)
Approximate pick-up or school-start time (Preschool)
Preschool After-school care
Approximate drop-off time p.m. (Preschool)
Approximate pick-up time p.m. (Preschool)
Irregular schedule

*Current Day cannot be selected* Please email immanuelcare@immanuelcl.org if your child will be attending as a walk-in today. Three walk-ins are allowed per trimester, after which a higher rate will be applied.
Up to 5 dates may be selected per submission (For slight variations on drop-off or pick-up times, please use the Additional Comments box below. For major variations in times, please submit a new form for the relevant dates). How many dates would you like to sign up for?
Date (1)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (1) K-8 Before-school care (child #1)
Approximate drop-off time a.m. (child #1)
Pick-up time (school start) (child #1)
Date (1) K-8 After-school care (child #1)
Approximate drop-off time p.m. (child #1)
Approximate pick-up time p.m. (child #1)
Date (1) Preschool Before-school care (child #1)
Approximate drop-off time a.m. (Preschool) (child #1)
Approximate pick-up or school-start time (Preschool) (child #1)
Date (1) Preschool After-school care (child #1)
Approximate drop-off time p.m. (Preschool) (child #1)
Approximate pick-up time p.m. (Preschool) (child #1)
Date (2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (2) K-8 Before-school care (child #1)
Approximate drop-off time a.m. (child #1)
Pick-up time (school start) (child #1)
Date (2) K-8 After-school care (child #1)
Approximate drop-off time p.m. (child #1)
Approximate pick-up time p.m. (child #1)
Date (2) Preschool Before-school care (child #1)
Approximate drop-off time a.m. (Preschool) (child #1)
Approximate pick-up or school-start time (Preschool) (child #1)
Date (2) Preschool After-school care (child #1)
Approximate drop-off time p.m. (Preschool) (child #1)
Approximate pick-up time p.m. (Preschool) (child #1)
Date (3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (3) K-8 Before-school care (child #1)
Approximate drop-off time a.m. (child #1)
Pick-up time (school start) (child #1)
Date (3) K-8 After-school care (child #1)
Approximate drop-off time p.m. (child #1)
Approximate pick-up time p.m. (child #1)
Date (3) Preschool Before-school care (child #1)
Approximate drop-off time a.m. (Preschool) (child #1)
Approximate pick-up or school-start time (Preschool) (child #1)
Date (3) Preschool After-school care (child #1)
Approximate drop-off time p.m. (Preschool) (child #1)
Approximate pick-up time p.m. (Preschool) (child #1)
Date (4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (4) K-8 Before-school care (child #1)
Approximate drop-off time a.m. (child #1)
Pick-up time (school start) (child #1)
Date (4) K-8 After-school care (child #1)
Approximate drop-off time p.m. (child #1)
Approximate pick-up time p.m. (child #1)
Date (4) Preschool Before-school care (child #1)
Approximate drop-off time a.m. (Preschool) (child #1)
Approximate pick-up or school-start time (Preschool) (child #1)
Date (4) Preschool After-school care (child #1)
Approximate drop-off time p.m. (Preschool) (child #1)
Approximate pick-up time p.m. (Preschool) (child #1)
Date (5)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (5) K-8 Before-school care (child #1)
Approximate drop-off time a.m. (child #1)
Pick-up time (school start) (child #1)
Date (5) K-8 After-school care (child #1)
Approximate drop-off time p.m. (child #1)
Approximate pick-up time p.m. (child #1)
Date (5) Preschool Before-school care (child #1)
Approximate drop-off time a.m. (Preschool) (child #1)
Approximate pick-up or school-start time (Preschool) (child #1)
Date (5) Preschool After-school care (child #1)
Approximate drop-off time p.m. (Preschool) (child #1)
Approximate pick-up time p.m. (Preschool) (child #1)
Date (6)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (7)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (8)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (9)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (10)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional comments (Child #1: any additional information you think we should have about this schedule)
What would you like to do next?
Child 2
First Name (child #2)
Last Name (child #2)
Grade-level group (child #2):
K-8 Which programs will your child be using (child #2)?
Preschool Which programs will your child be using (child #2)?
Will this child be attending Immanuel Care on a consistent schedule, or will it vary? (child #2)
Date Selection (child #2)

Please select the start and end dates for the times entered above
Consistent schedule (child #2)

*Current Day cannot be selected* Please email immanuelcare@immanuelcl.org if your child will be attending as a walk-in today. Three walk-ins are allowed per trimester, after which a higher rate will be applied.
Start date (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
K-8 Before-school care (child #2)
Approximate drop-off time a.m. (child #2)
Pick-up time (school start) (child #2)
K-8 After-school care (child #2)
Approximate drop-off time p.m. (child #2)
Approximate pick-up time p.m. (child #2)
Preschool Before-school care (child #2)
Approximate drop-off time a.m. (Preschool) (child #2)
Approximate pick-up or school-start time (Preschool) (child #2)
Preschool After-school care (child #2)
Approximate drop-off time p.m. (Preschool) (child #2)
Approximate pick-up time p.m. (Preschool) (child #2)
Irregular schedule (child #2)

*Current Day cannot be selected* Please email immanuelcare@immanuelcl.org if your child will be attending as a walk-in today. Three walk-ins are allowed per trimester, after which a higher rate will be applied.
Up to 5 dates may be selected per submission (For slight variations on drop-off or pick-up times, please use the Additional Comments box below. For major variations in times, please submit a new form for the relevant dates). How many dates would you like to sign up for? (child #2)
Date (1) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (1) K-8 Before-school care (child #2)
Approximate drop-off time a.m. (child #2)
Pick-up time (school start) (child #2)
Date (1) K-8 After-school care (child #2)
Approximate drop-off time p.m. (child #2)
Approximate pick-up time p.m. (child #2)
Date (1) Preschool Before-school care (child #2)
Approximate drop-off time a.m. (Preschool) (child #2)
Approximate pick-up or school-start time (Preschool) (child #2)
Date (1) Preschool After-school care (child #2)
Approximate drop-off time p.m. (Preschool) (child #2)
Approximate pick-up time p.m. (Preschool) (child #2)
Date (2) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (2) K-8 Before-school care (child #2)
Approximate drop-off time a.m. (child #2)
Pick-up time (school start) (child #2)
Date (2) K-8 After-school care (child #2)
Approximate drop-off time p.m. (child #2)
Approximate pick-up time p.m. (child #2)
Date (2) Preschool Before-school care (child #2)
Approximate drop-off time a.m. (Preschool) (child #2)
Approximate pick-up or school-start time (Preschool) (child #2)
Date (2) Preschool After-school care (child #2)
Approximate drop-off time p.m. (Preschool) (child #2)
Approximate pick-up time p.m. (Preschool) (child #2)
Date (3) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (3) K-8 Before-school care (child #2)
Approximate drop-off time a.m. (child #2)
Pick-up time (school start) (child #2)
Date (3) K-8 After-school care (child #2)
Approximate drop-off time p.m. (child #2)
Approximate pick-up time p.m. (child #2)
Date (3) Preschool Before-school care (child #2)
Approximate drop-off time a.m. (Preschool) (child #2)
Approximate pick-up or school-start time (Preschool) (child #2)
Date (3) Preschool After-school care (child #2)
Approximate drop-off time p.m. (Preschool) (child #2)
Approximate pick-up time p.m. (Preschool) (child #2)
Date (4) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (4) K-8 Before-school care (child #2)
Approximate drop-off time a.m. (child #2)
Pick-up time (school start) (child #2)
Date (4) K-8 After-school care (child #2)
Approximate drop-off time p.m. (child #2)
Approximate pick-up time p.m. (child #2)
Date (4) Preschool Before-school care (child #2)
Approximate drop-off time a.m. (Preschool) (child #2)
Approximate pick-up or school-start time (Preschool) (child #2)
Date (4) Preschool After-school care (child #2)
Approximate drop-off time p.m. (Preschool) (child #2)
Approximate pick-up time p.m. (Preschool) (child #2)
Date (5) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (5) K-8 Before-school care (child #2)
Approximate drop-off time a.m. (child #2)
Pick-up time (school start) (child #2)
Date (5) K-8 After-school care (child #2)
Approximate drop-off time p.m. (child #2)
Approximate pick-up time p.m. (child #2)
Date (5) Preschool Before-school care (child #2)
Approximate drop-off time a.m. (Preschool) (child #2)
Approximate pick-up or school-start time (Preschool) (child #2)
Date (5) Preschool After-school care (child #2)
Approximate drop-off time p.m. (Preschool) (child #2)
Approximate pick-up time p.m. (Preschool) (child #2)
Date (6) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (7) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (8) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (9) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (10) (child #2)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional comments (Child #2: any additional information you think we should have about this schedule)
What would you like to do next?
Child 3
First Name (child #3)
Last Name (child #3)
Grade-level group (child #3):
K-8 Which programs will your child be using (child #3)?
Preschool Which programs will your child be using (child #3)?
Will this child be attending Immanuel Care on a consistent schedule, or will it vary? (child #3)
Date Selection (child #3)

Please select the start and end dates for the times entered above
Consistent schedule (child #3)

*Current Day cannot be selected* Please email immanuelcare@immanuelcl.org if your child will be attending as a walk-in today. Three walk-ins are allowed per trimester, after which a higher rate will be applied.
Start date (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
K-8 Before-school care (child #3)
Approximate drop-off time a.m. (child #3)
Pick-up time (school start) (child #3)
K-8 After-school care (child #3)
Approximate drop-off time p.m. (child #3)
Approximate pick-up time p.m. (child #3)
Preschool Before-school care (child #3)
Approximate drop-off time a.m. (Preschool) (child #3)
Approximate pick-up or school-start time (Preschool) (child #3)
Preschool After-school care (child #3)
Approximate drop-off time p.m. (Preschool) (child #3)
Approximate pick-up time p.m. (Preschool) (child #3)
Irregular schedule (child #3)

*Current Day cannot be selected* Please email immanuelcare@immanuelcl.org if your child will be attending as a walk-in today. Three walk-ins are allowed per trimester, after which a higher rate will be applied.
Up to 5 dates may be selected per submission (For slight variations on drop-off or pick-up times, please use the Additional Comments box below. For major variations in times, please submit a new form for the relevant dates). How many dates would you like to sign up for? (child #3)
Date (1) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (1) K-8 Before-school care (child #3)
Approximate drop-off time a.m. (child #3)
Pick-up time (school start) (child #3)
Date (1) K-8 After-school care (child #3)
Approximate drop-off time p.m. (child #3)
Approximate pick-up time p.m. (child #3)
Date (1) Preschool Before-school care (child #3)
Approximate drop-off time a.m. (Preschool) (child #3)
Approximate pick-up or school-start time (Preschool) (child #3)
Date (1) Preschool After-school care (child #3)
Approximate drop-off time p.m. (Preschool) (child #3)
Approximate pick-up time p.m. (Preschool) (child #3)
Date (2) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (2) K-8 Before-school care (child #3)
Approximate drop-off time a.m. (child #3)
Pick-up time (school start) (child #3)
Date (2) K-8 After-school care (child #3)
Approximate drop-off time p.m. (child #3)
Approximate pick-up time p.m. (child #3)
Date (2) Preschool Before-school care (child #3)
Approximate drop-off time a.m. (Preschool) (child #3)
Approximate pick-up or school-start time (Preschool) (child #3)
Date (2) Preschool After-school care (child #3)
Approximate drop-off time p.m. (Preschool) (child #3)
Approximate pick-up time p.m. (Preschool) (child #3)
Date (3) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (3) K-8 Before-school care (child #3)
Approximate drop-off time a.m. (child #3)
Pick-up time (school start) (child #3)
Date (3) K-8 After-school care (child #3)
Approximate drop-off time p.m. (child #3)
Approximate pick-up time p.m. (child #3)
Date (3) Preschool Before-school care (child #3)
Approximate drop-off time a.m. (Preschool) (child #3)
Approximate pick-up or school-start time (Preschool) (child #3)
Date (3) Preschool After-school care (child #3)
Approximate drop-off time p.m. (Preschool) (child #3)
Approximate pick-up time p.m. (Preschool) (child #3)
Date (4) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (4) K-8 Before-school care (child #3)
Approximate drop-off time a.m. (child #3)
Pick-up time (school start) (child #3)
Date (4) K-8 After-school care (child #3)
Approximate drop-off time p.m. (child #3)
Approximate pick-up time p.m. (child #3)
Date (4) Preschool Before-school care (child #3)
Approximate drop-off time a.m. (Preschool) (child #3)
Approximate pick-up or school-start time (Preschool) (child #3)
Date (4) Preschool After-school care (child #3)
Approximate drop-off time p.m. (Preschool) (child #3)
Approximate pick-up time p.m. (Preschool) (child #3)
Date (5) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (5) K-8 Before-school care (child #3)
Approximate drop-off time a.m. (child #3)
Pick-up time (school start) (child #3)
Date (5) K-8 After-school care (child #3)
Approximate drop-off time p.m. (child #3)
Approximate pick-up time p.m. (child #3)
Date (5) Preschool Before-school care (child #3)
Approximate drop-off time a.m. (Preschool) (child #3)
Approximate pick-up or school-start time (Preschool) (child #3)
Date (5) Preschool After-school care (child #3)
Approximate drop-off time p.m. (Preschool) (child #3)
Approximate pick-up time p.m. (Preschool) (child #3)
Date (6) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (7) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (8) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (9) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (10) (child #3)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional comments (Child #3: any additional information you think we should have about this schedule)
What would you like to do next?
Child 4
First Name (child #4)
Last Name (child #4)
Grade-level group (child #4):
K-8 Which programs will your child be using (child #4)?
Preschool Which programs will your child be using (child #4)?
Will this child be attending Immanuel Care on a consistent schedule, or will it vary? (child #4)
Date Selection (child #4)

Please select the start and end dates for the times entered above
Consistent schedule (child #4)

*Current Day cannot be selected* Please email immanuelcare@immanuelcl.org if your child will be attending as a walk-in today. Three walk-ins are allowed per trimester, after which a higher rate will be applied.
Start date (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
K-8 Before-school care (child #4)
Approximate drop-off time a.m. (child #4)
Pick-up time (school start) (child #4)
K-8 After-school care (child #4)
Approximate drop-off time p.m. (child #4)
Approximate pick-up time p.m. (child #4)
Preschool Before-school care (child #4)
Approximate drop-off time a.m. (Preschool) (child #4)
Approximate pick-up or school-start time (Preschool) (child #4)
Preschool After-school care (child #4)
Approximate drop-off time p.m. (Preschool) (child #4)
Approximate pick-up time p.m. (Preschool) (child #4)
Irregular schedule (child #4)

*Current Day cannot be selected* Please email immanuelcare@immanuelcl.org if your child will be attending as a walk-in today. Three walk-ins are allowed per trimester, after which a higher rate will be applied.
Up to 5 dates may be selected per submission (For slight variations on drop-off or pick-up times, please use the Additional Comments box below. For major variations in times, please submit a new form for the relevant dates). How many dates would you like to sign up for? (child #4)
Date (1) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (1) K-8 Before-school care (child #4)
Approximate drop-off time a.m. (child #4)
Pick-up time (school start) (child #4)
Date (1) K-8 After-school care (child #4)
Approximate drop-off time p.m. (child #4)
Approximate pick-up time p.m. (child #4)
Date (1) Preschool Before-school care (child #4)
Approximate drop-off time a.m. (Preschool) (child #4)
Approximate pick-up or school-start time (Preschool) (child #4)
Date (1) Preschool After-school care (child #4)
Approximate drop-off time p.m. (Preschool) (child #4)
Approximate pick-up time p.m. (Preschool) (child #4)
Date (2) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (2) K-8 Before-school care (child #4)
Approximate drop-off time a.m. (child #4)
Pick-up time (school start) (child #4)
Date (2) K-8 After-school care (child #4)
Approximate drop-off time p.m. (child #4)
Approximate pick-up time p.m. (child #4)
Date (2) Preschool Before-school care (child #4)
Approximate drop-off time a.m. (Preschool) (child #4)
Approximate pick-up or school-start time (Preschool) (child #4)
Date (2) Preschool After-school care (child #4)
Approximate drop-off time p.m. (Preschool) (child #4)
Approximate pick-up time p.m. (Preschool) (child #4)
Date (3) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (3) K-8 Before-school care (child #4)
Approximate drop-off time a.m. (child #4)
Pick-up time (school start) (child #4)
Date (3) K-8 After-school care (child #4)
Approximate drop-off time p.m. (child #4)
Approximate pick-up time p.m. (child #4)
Date (3) Preschool Before-school care (child #4)
Approximate drop-off time a.m. (Preschool) (child #4)
Approximate pick-up or school-start time (Preschool) (child #4)
Date (3) Preschool After-school care (child #4)
Approximate drop-off time p.m. (Preschool) (child #4)
Approximate pick-up time p.m. (Preschool) (child #4)
Date (4) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (4) K-8 Before-school care (child #4)
Approximate drop-off time a.m. (child #4)
Pick-up time (school start) (child #4)
Date (4) K-8 After-school care (child #4)
Approximate drop-off time p.m. (child #4)
Approximate pick-up time p.m. (child #4)
Date (4) Preschool Before-school care (child #4)
Approximate drop-off time a.m. (Preschool) (child #4)
Approximate pick-up or school-start time (Preschool) (child #4)
Date (4) Preschool After-school care (child #4)
Approximate drop-off time p.m. (Preschool) (child #4)
Approximate pick-up time p.m. (Preschool) (child #4)
Date (5) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (5) K-8 Before-school care (child #4)
Approximate drop-off time a.m. (child #4)
Pick-up time (school start) (child #4)
Date (5) K-8 After-school care (child #4)
Approximate drop-off time p.m. (child #4)
Approximate pick-up time p.m. (child #4)
Date (5) Preschool Before-school care (child #4)
Approximate drop-off time a.m. (Preschool) (child #4)
Approximate pick-up or school-start time (Preschool) (child #4)
Date (5) Preschool After-school care (child #4)
Approximate drop-off time p.m. (Preschool) (child #4)
Approximate pick-up time p.m. (Preschool) (child #4)
Date (6) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (7) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (8) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (9) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (10) (child #4)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional comments (Child #4: any additional information you think we should have about this schedule)
What would you like to do next?
Should be Empty:

Immanuel Care Sign-up Form

Child 1

Date Selection

Consistent schedule

K-8 Before-school care

K-8 After-school care

Preschool Before-school care

Preschool After-school care

Irregular schedule

Date (1) K-8 Before-school care (child #1)

Date (1) K-8 After-school care (child #1)

Date (1) Preschool Before-school care (child #1)

Date (1) Preschool After-school care (child #1)

Date (2) K-8 Before-school care (child #1)

Date (2) K-8 After-school care (child #1)

Date (2) Preschool Before-school care (child #1)

Date (2) Preschool After-school care (child #1)

Date (3) K-8 Before-school care (child #1)

Date (3) K-8 After-school care (child #1)

Date (3) Preschool Before-school care (child #1)

Date (3) Preschool After-school care (child #1)

Date (4) K-8 Before-school care (child #1)

Date (4) K-8 After-school care (child #1)

Date (4) Preschool Before-school care (child #1)

Date (4) Preschool After-school care (child #1)

Date (5) K-8 Before-school care (child #1)

Date (5) K-8 After-school care (child #1)

Date (5) Preschool Before-school care (child #1)

Date (5) Preschool After-school care (child #1)

Child 2

Date Selection (child #2)

Consistent schedule (child #2)

K-8 Before-school care (child #2)

K-8 After-school care (child #2)

Preschool Before-school care (child #2)

Preschool After-school care (child #2)

Irregular schedule (child #2)

Date (1) K-8 Before-school care (child #2)

Date (1) K-8 After-school care (child #2)

Date (1) Preschool Before-school care (child #2)

Date (1) Preschool After-school care (child #2)

Date (2) K-8 Before-school care (child #2)

Date (2) K-8 After-school care (child #2)

Date (2) Preschool Before-school care (child #2)

Date (2) Preschool After-school care (child #2)

Date (3) K-8 Before-school care (child #2)

Date (3) K-8 After-school care (child #2)

Date (3) Preschool Before-school care (child #2)

Date (3) Preschool After-school care (child #2)

Date (4) K-8 Before-school care (child #2)

Date (4) K-8 After-school care (child #2)

Date (4) Preschool Before-school care (child #2)

Date (4) Preschool After-school care (child #2)

Date (5) K-8 Before-school care (child #2)

Date (5) K-8 After-school care (child #2)

Date (5) Preschool Before-school care (child #2)

Date (5) Preschool After-school care (child #2)

Child 3

Date Selection (child #3)

Consistent schedule (child #3)

K-8 Before-school care (child #3)

K-8 After-school care (child #3)

Preschool Before-school care (child #3)

Preschool After-school care (child #3)

Irregular schedule (child #3)

Date (1) K-8 Before-school care (child #3)

Date (1) K-8 After-school care (child #3)

Date (1) Preschool Before-school care (child #3)

Date (1) Preschool After-school care (child #3)

Date (2) K-8 Before-school care (child #3)

Date (2) K-8 After-school care (child #3)

Date (2) Preschool Before-school care (child #3)

Date (2) Preschool After-school care (child #3)

Date (3) K-8 Before-school care (child #3)

Date (3) K-8 After-school care (child #3)

Date (3) Preschool Before-school care (child #3)

Date (3) Preschool After-school care (child #3)

Date (4) K-8 Before-school care (child #3)

Date (4) K-8 After-school care (child #3)

Date (4) Preschool Before-school care (child #3)