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WAITLIST - 2021 Christmas Break Childcare
You will be contacted if your child is pulled off the WAITLIST.
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* Indicates required question
Child's Last Name:
*
Your answer
Child's First Name:
*
Your answer
Grade:
*
Choose
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
My child will need care the following dates: December 20, 21, 22, 27, 28, 29, 30.
*
Yes
No
Required
I understand that I am responsible for the full payment if I register my child for care. The total cost for care is $175.00.
*
Yes, I understand
Yes, I understand but my child receives vouchers
Required
Parents with Vouchers: I understand that if I sign my child up for care and they do not attend I will be responsible for the full amount $175.00 week/$25 per day absent. This fee is per child.
*
Yes
My child does not receive vouchers
Required
Parent's Last Name:
*
Your answer
Parent's First Name:
*
Your answer
Parent's Phone Number:
*
Your answer
Email:
*
Your answer
My child attends:
*
Choose
Atkinson
Bruce Drysdale
Clear Creek
Dana
Edneyville
Etowah
Fletcher
Glenn Marlow
Hendersonville
Hillandale
Mills River
Sugarloaf
Upward
I have completed a new 2021-2022 registration packet through the online portal.
*
Yes
No
Required
Drop Off Time: (For staffing purposes only)
*
Your answer
Pick Up Time: (For staffing purposes only)
*
Your answer
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