Zion Day Care Schedule Registration Form

Please complete the information below to register for Day Care.

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 (1 - 2 yrs) Preschool (3 yrs) School Age (5 yrs and older)
2.Student Name: 2.Student Name: First Last
Age of Child

Age of Child Infant Toddler (1 - 2 yrs) Preschool (3 yrs) School Age (5 yrs and older)
3.Student Name: 3.Student Name: First Last
Age of Child

Age of Child Infant Toddler (1 - 2 yrs) Preschool (3 yrs) School Age (5 yrs and older)
Contact Email:
Which room will your child attend care for?

Which room will your child attend care for? Infant/Guppy Room (0 - 1 yrs) Miss Cearra Toddler/Explorer Room (1 yr - 2 yrs) Mrs. Cindy Preschool/Wilderness Critters Room (2ys - 3yrs) Miss Madison Before/After School 3:00 - 5:30 pm

Please fill in by your preference, by week, or two weeks or monthly. Schedules are due on the Wednesday before care is needed:
Note: Childcare will be closed the week of June 29th and August 3, August 7, August 10 and August 17.
	Monday	Tuesday	Wednesday	Thursday	Friday
Week of July 6	Week of July 6Monday	Week of July 6Tuesday	Week of July 6Wednesday	Week of July 6Thursday	Week of July 6Friday
Week of July 13	Week of July 13Monday	Week of July 13Tuesday	Week of July 13Wednesday	Week of July 13Thursday	Week of July 13Friday
Week of July 20	Week of July 20Monday	Week of July 20Tuesday	Week of July 20Wednesday	Week of July 20Thursday	Week of July 20Friday
Week of July 27	Week of July 27Monday	Week of July 27Tuesday	Week of July 27Wednesday	Week of July 27Thursday	Week of July 27Friday
August 4th - August 7th	August 4th - August 7thMonday	August 4th - August 7thTuesday	August 4th - August 7thWednesday	August 4th - August 7thThursday	August 4th - August 7thFriday
Week of August 10	Week of August 10Monday	Week of August 10Tuesday	Week of August 10Wednesday	Week of August 10Thursday	Week of August 10Friday
Week of August 17	Week of August 17Monday	Week of August 17Tuesday	Week of August 17Wednesday	Week of August 17Thursday	Week of August 17Friday
Week of August 24	Week of August 24Monday	Week of August 24Tuesday	Week of August 24Wednesday	Week of August 24Thursday	Week of August 24Friday
Week of August 31	Week of August 31Monday	Week of August 31Tuesday	Week of August 31Wednesday	Week of August 31Thursday	Week of August 31Friday
Week of September 7th	Week of September 7thMonday	Week of September 7thTuesday	Week of September 7thWednesday	Week of September 7thThursday	Week of September 7thFriday
Week of September 14th	Week of September 14thMonday	Week of September 14thTuesday	Week of September 14thWednesday	Week of September 14thThursday	Week of September 14thFriday
Week of September 21st	Week of September 21stMonday	Week of September 21stTuesday	Week of September 21stWednesday	Week of September 21stThursday	Week of September 21stFriday
Week of September 28th	Week of September 28thMonday	Week of September 28thTuesday	Week of September 28thWednesday	Week of September 28thThursday	Week of September 28thFriday

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 Child Care Rates

Infant – Toddler ($8.00 per hour)

3 – 4 Years ($7.00 per hour)
After School Care

Grades Preschool - 8th Grade
Before School Child Care $10 per day per child
After School Child Care $15 per day per child
Before and After School Child Care $20 per day per child
Summer Program Registration
$50 per day / per child
Online registration form with payments are going through FACTS and will be billed after each week.
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Zion Day Care Schedule Registration Form

Zion Day Care Schedule Registration Form

Zion Child Care Rates Infant – Toddler ($8.00 per hour) 3 – 4 Years ($7.00 per hour)

After School Care

Before School Child Care $10 per day per child

After School Child Care $15 per day per child

Before and After School Child Care $20 per day per child

Summer Program Registration $50 per day / per child

Online registration form with payments are going through FACTS and will be billed after each week.

Zion Child Care Rates

Infant – Toddler ($8.00 per hour)

3 – 4 Years ($7.00 per hour)

Summer Program Registration
$50 per day / per child