Before and After School Enrolment

Child's Information:
Other requests
Existing Customer or New enrolment *
Child's name *
Child's Age *
Child's Date of Birth *
Location *
School attending *
Classroom this year
Parent's/Caregiver's name *
Email address *
Re-enter email address *
Enrolment Requirements
Weekly Attendance Options *
Start date for care *
Morning requirements	Monday Tuesday Wednesday Thursday Friday
Afternoon requirements	Monday Tuesday Wednesday Thursday Friday
Do Homework at ASK *
Drop off to other activity required
Date and time
Activity
* denotes required field