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 July 29	Week of July 29Monday	Week of July 29Tuesday	Week of July 29Wednesday	Week of July 29Thursday	Week of July 29Friday
Week of August 5	Week of August 5Monday	Week of August 5Tuesday	Week of August 5Wednesday	Week of August 5Thursday	Week of August 5Friday
Week of August 12	Week of August 12Monday	Week of August 12Tuesday	Week of August 12Wednesday	Week of August 12Thursday	Week of August 12Friday
Week of August 19	Week of August 19Monday	Week of August 19Tuesday	Week of August 19Wednesday	Week of August 19Thursday	Week of August 19Friday
Week of August 29	Week of August 29Monday	Week of August 29Tuesday	Week of August 29Wednesday	Week of August 29Thursday	Week of August 29Friday
Week of September 2	Week of September 2Monday	Week of September 2Tuesday	Week of September 2Wednesday	Week of September 2Thursday	Week of September 2Friday
Week of September 9	Week of September 9Monday	Week of September 9Tuesday	Week of September 9Wednesday	Week of September 9Thursday	Week of September 9Friday
Week of September 16	Week of September 16Monday	Week of September 16Tuesday	Week of September 16Wednesday	Week of September 16Thursday	Week of September 16Friday
Week of September 23	Week of September 23Monday	Week of September 23Tuesday	Week of September 23Wednesday	Week of September 23Thursday	Week of September 23Friday
Week of September 30	Week of September 30Monday	Week of September 30Tuesday	Week of September 30Wednesday	Week of September 30Thursday	Week of September 30Friday
Week of October 7	Week of October 7Monday	Week of October 7Tuesday	Week of October 7Wednesday	Week of October 7Thursday	Week of October 7Friday
Week of October 14	Week of October 14Monday	Week of October 14Tuesday	Week of October 14Wednesday	Week of October 14Thursday	Week of October 14Friday
Week of October 21	Week of October 21Monday	Week of October 21Tuesday	Week of October 21Wednesday	Week of October 21Thursday	Week of October 21Friday
Week of October 28	Week of October 28Monday	Week of October 28Tuesday	Week of October 28Wednesday	Week of October 28Thursday	Week of October 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:
22, 4, 8, 0 : which of these is the largest?
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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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