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 Toddler (1 - 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 Toddler (1 - 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 Toddler (1 - 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? Toddler/Guppy Room (1yr - 3 yrs) Miss Claire Preschool/Wilderness Critters Room (3ys - 5yrs) Miss Jasmine After School (P4 - 12yrs) Summer Program (5 yrs and older) Miss Baylie

Please fill in by your preference, by week, or two weeks or monthly. Schedules are due on the Wednesday before care is needed:
Note: We will be closed June 7, and July 1 - 5.
	Monday	Tuesday	Wednesday	Thursday	Friday
Week of January 27	Week of January 27Monday	Week of January 27Tuesday	Week of January 27Wednesday	Week of January 27Thursday	Week of January 27Friday
Week of February 3	Week of February 3Monday	Week of February 3Tuesday	Week of February 3Wednesday	Week of February 3Thursday	Week of February 3Friday
Week of February 10	Week of February 10Monday	Week of February 10Tuesday	Week of February 10Wednesday	Week of February 10Thursday	Week of February 10Friday
Week of February 17	Week of February 17Monday	Week of February 17Tuesday	Week of February 17Wednesday	Week of February 17Thursday	Week of February 17Friday
Week of February 24	Week of February 24Monday	Week of February 24Tuesday	Week of February 24Wednesday	Week of February 24Thursday	Week of February 24Friday
Week of March 3	Week of March 3Monday	Week of March 3Tuesday	Week of March 3Wednesday	Week of March 3Thursday	Week of March 3Friday
Week of March 10	Week of March 10Monday	Week of March 10Tuesday	Week of March 10Wednesday	Week of March 10Thursday	Week of March 10Friday
Week of March 17	Week of March 17Monday	Week of March 17Tuesday	Week of March 17Wednesday	Week of March 17Thursday	Week of March 17Friday
Week of March 24	Week of March 24Monday	Week of March 24Tuesday	Week of March 24Wednesday	Week of March 24Thursday	Week of March 24Friday
Week of March 31	Week of March 31Monday	Week of March 31Tuesday	Week of March 31Wednesday	Week of March 31Thursday	Week of March 31Friday
Week of April 7	Week of April 7Monday	Week of April 7Tuesday	Week of April 7Wednesday	Week of April 7Thursday	Week of April 7Friday
Week of April 14	Week of April 14Monday	Week of April 14Tuesday	Week of April 14Wednesday	Week of April 14Thursday	Week of April 14Friday
Week of April 21	Week of April 21Monday	Week of April 21Tuesday	Week of April 21Wednesday	Week of April 21Thursday	Week of April 21Friday
Week of April 28	Week of April 28Monday	Week of April 28Tuesday	Week of April 28Wednesday	Week of April 28Thursday	Week of April 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 Child Care Rates

Please select the number of days your child will be attending Zion.
Child Care Rate
1 Year - 3 Years ($48.00 per day)
Child Care Rate
3 Years - 5 Years ($40per day)
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 ($35)
After School Child Care $13
Summer Program Registration
$30 per day / per child
1 Child
2 Children
3 Children
Online registration form that payments are going through FACTS and will be billed after each week.
Spam Protection. Please answer this simple question:
4, 5, 6, 7 : the 2nd number is?
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Zion Day Care Schedule Registration Form

Zion Day Care Schedule Registration Form

$`0`

Total

Zion Child Care Rates

After School Care

Summer Program Registration
$30 per day / per child

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

$`0`

Total

Zion Day Care Schedule Registration Form

Zion Day Care Schedule Registration Form

$0

Total

Zion Child Care Rates

After School Care

Summer Program Registration $30 per day / per child

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

$0

Total

$`0`

Summer Program Registration
$30 per day / per child

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