Zion Day Care Schedule Registration Form

Please complete the information below to register for Day Care.

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Parent Name: Parent Name: * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Is your Daycare covered by DHS? *
1.Student Name: 1.Student Name: * First Last
Age of Child *

Age of Child Infant & Toddler (Newborn - 3 yrs) Preschool (3 - 4 yrs) School Age (5 yrs and older)
2.Student Name: 2.Student Name: First Last
Age of Child

Age of Child Infant & Toddler (Newborn - 3 yrs) Preschool (3 - 4 yrs) School Age (5 yrs and older)
3.Student Name: 3.Student Name: First Last
Age of Child

Age of Child Infant & Toddler (Newborn - 3yrs) Preschool (3 - 4 yrs) School Age (5 yrs and older)
Contact Email: *
Which room will your child attend for care? *
Which room will your child attend care for?

Which room will your child attend care for? Infant Room/Red Room (6wk - 14 months) - Miss Sarah Toddler Room/Green Room (14 months - 3 Years) - Miss Claire Preschool Room/Orange Room (3 yrs - 4 yrs) - Miss Jasmine Summer Program (5 yrs and older) Miss Justice

Please fill in by your preference, by week, or two weeks or monthly. Schedules are due on the Wednesday before care is needed:
NOTE: Day Care will be closed July 3 - July 7, 2023.
	Monday	Tuesday	Wednesday	Thursday	Friday
Week of May 22	Week of May 22Monday	Week of May 22Tuesday	Week of May 22Wednesday	Week of May 22Thursday	Week of May 22Friday
Week of May 30	Week of May 30Monday	Week of May 30Tuesday	Week of May 30Wednesday	Week of May 30Thursday	Week of May 30Friday
Week of June 5	Week of June 5Monday	Week of June 5Tuesday	Week of June 5Wednesday	Week of June 5Thursday	Week of June 5Friday
Week of June 12	Week of June 12Monday	Week of June 12Tuesday	Week of June 12Wednesday	Week of June 12Thursday	Week of June 12Friday
Week of June 19	Week of June 19Monday	Week of June 19Tuesday	Week of June 19Wednesday	Week of June 19Thursday	Week of June 19Friday
Week of June 26	Week of June 26Monday	Week of June 26Tuesday	Week of June 26Wednesday	Week of June 26Thursday	Week of June 26Friday
Week of July 10	Week of July 10Monday	Week of July 10Tuesday	Week of July 10Wednesday	Week of July 10Thursday	Week of July 10Friday
Week of July 17	Week of July 17Monday	Week of July 17Tuesday	Week of July 17Wednesday	Week of July 17Thursday	Week of July 17Friday
Week of July 24	Week of July 24Monday	Week of July 24Tuesday	Week of July 24Wednesday	Week of July 24Thursday	Week of July 24Friday
Week of July 31	Week of July 31Monday	Week of July 31Tuesday	Week of July 31Wednesday	Week of July 31Thursday	Week of July 31Friday
Week of August 7	Week of August 7Monday	Week of August 7Tuesday	Week of August 7Wednesday	Week of August 7Thursday	Week of August 7Friday
Week of August 14	Week of August 14Monday	Week of August 14Tuesday	Week of August 14Wednesday	Week of August 14Thursday	Week of August 14Friday
Week of August 21	Week of August 21Monday	Week of August 21Tuesday	Week of August 21Wednesday	Week of August 21Thursday	Week of August 21Friday
Week of August 28	Week of August 28Monday	Week of August 28Tuesday	Week of August 28Wednesday	Week of August 28Thursday	Week of August 28Friday

Drop Off Time: *
Pick Up Time *
Drop off/Pick up times if different than above:
Include the week/day/drop off and pick up time.
Zion Day Care Rates

Please select the number of days your child will be attending Zion.
Child Care Rate
Newborn - 3 Years
Child Care Rate
3 Years and Older - Non School Days
Snow Days/Summer Rate
Ages 5 & Up per Week
Family Rate with 2 Kids (Excludes Infants and Toddlers):
Family Rate with 3 Kids (Excludes Infants and Toddlers):
After School Care

Grades Preschool - 8th Grade
Pre 3 Half day after school:
Mondays, Wednesdays & Fridays
Pre 4: Half day after school:
Mondays, Tuesdays, Wednesdays & Thursdays
After School Child Care
Summer Program Registration
$30 per day / per child
1 Child
2 Children
3 Children
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Zion Day Care Schedule Registration Form

Zion Day Care Schedule Registration Form

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Zion Day Care Rates

After School Care

Summer Program Registration
$30 per day / per child

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Zion Day Care Schedule Registration Form

Zion Day Care Schedule Registration Form

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Total

Zion Day Care Rates

After School Care

Summer Program Registration $30 per day / per child

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Summer Program Registration
$30 per day / per child

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