Infant to 2yo MIDWEEK Childcare registration

If your child was not already registered for Midweek childcare in the fall, and you need childcare for your 0-2yo child while you are attending Midweek classes, please fill out this form for each child you'd like to register.

Space is limited, please do not wait to register.

Child Information

Name

Gender

Male Female

Birthdate

Medical Info

Parent Information

Name

This address will receive a confirmation email

Phone

Emergency Contact

Name

Phone

Relationship to Child

List names of Adults permitted to pick up your child. Only adults listed here will be permitted to pick up your child. Please have them bring photo ID.

Description

Midweek (6:30-8pm) childcare is only available for children aged infant to two years of age whose parents are attending Midweek classes. Those children must be registered. Due to limited space, please do not wait to register.

Don't forget to register for your own Midweek classes! Go to Mid-Week Class Registration (Winter/Spring 2025)

Infant to 2yo MIDWEEK Childcare registration

Description

Please Fix the Following