Before and After School Care Enrollment / Emergency Form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your child’s name and birthdate at the top of the form. This information is essential for identifying your child within the program.
3. Fill in the teacher/grade section, along with your address and phone number. Ensure that all contact details are accurate for effective communication.
4. Provide information about both parents' employers and their respective phone numbers. This helps in case of emergencies or if additional contact is needed.
5. List two emergency contacts, including their names, relationships to your child, and phone numbers. This ensures that someone can be reached quickly if necessary.
6. Enter your child's doctor’s name and phone number, along with any allergies or medications they may have. This is crucial for their safety during care.
7. Identify individuals authorized to pick up your child by providing their names, relationships, and phone numbers. This secures who can take responsibility for your child.
8. Indicate how often you plan to use the program by checking the appropriate boxes for each day of the week.

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