Dear Parents, Please take a moment and complete this form. I will need daycare from 7:00 A.M. I will need daycare from 7:30 A.M. I will need daycare to 5:00 P.M. I will need daycare to 5:45 P.M. I will need daycare on Fridays. Name of Student Birthday Parents Name Email Cell Phone Comments: This page uses 128 bit SSL encryption to keep your data secure.