Zion Day Care Schedule Registration Form

Please complete the information below to register for Day Care.

$0

Total
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 December 23, 2022 - January 2, 2023.
	Monday	Tuesday	Wednesday	Thursday	Friday
Week of November 28	Week of November 28Monday	Week of November 28Tuesday	Week of November 28Wednesday	Week of November 28Thursday	Week of November 28Friday
Week of December 5	Week of December 5Monday	Week of December 5Tuesday	Week of December 5Wednesday	Week of December 5Thursday	Week of December 5Friday
Week of December 12	Week of December 12Monday	Week of December 12Tuesday	Week of December 12Wednesday	Week of December 12Thursday	Week of December 12Friday
Week of December 19	Week of December 19Monday	Week of December 19Tuesday	Week of December 19Wednesday	Week of December 19Thursday	Week of December 19Friday
Week of January 2	Week of January 2Monday	Week of January 2Tuesday	Week of January 2Wednesday	Week of January 2Thursday	Week of January 2Friday
Week of January 9	Week of January 9Monday	Week of January 9Tuesday	Week of January 9Wednesday	Week of January 9Thursday	Week of January 9Friday
Week of January 16	Week of January 16Monday	Week of January 16Tuesday	Week of January 16Wednesday	Week of January 16Thursday	Week of January 16Friday
Week of January 23	Week of January 23Monday	Week of January 23Tuesday	Week of January 23Wednesday	Week of January 23Thursday	Week of January 23Friday
Week of January 30	Week of January 30Monday	Week of January 30Tuesday	Week of January 30Wednesday	Week of January 30Thursday	Week of January 30Friday
Week of February 6	Week of February 6Monday	Week of February 6Tuesday	Week of February 6Wednesday	Week of February 6Thursday	Week of February 6Friday
Week of February 13	Week of February 13Monday	Week of February 13Tuesday	Week of February 13Wednesday	Week of February 13Thursday	Week of February 13Friday
Week of February 20	Week of February 20Monday	Week of February 20Tuesday	Week of February 20Wednesday	Week of February 20Thursday	Week of February 20Friday
Week of February 27	Week of February 27Monday	Week of February 27Tuesday	Week of February 27Wednesday	Week of February 27Thursday	Week of February 27Friday

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
$25 per day / per child
1 Child
2 Children
3 Children
Spam Protection. Please answer this simple question.
If the cat is black, what color is it?
$0

Total

Zion Day Care Schedule Registration Form

Zion Day Care Schedule Registration Form

$`0`

Total

Zion Day Care Rates

After School Care

Summer Program Registration
$25 per day / per child

$`0`

Total

Zion Day Care Schedule Registration Form

Zion Day Care Schedule Registration Form

$0

Total

Zion Day Care Rates

After School Care

Summer Program Registration $25 per day / per child

$0

Total

$`0`

Summer Program Registration
$25 per day / per child

$`0`