Child's Name Child's Grade Completed (as of June 16, 2020) Parent's Name Parent Email Address Please check the dates you would like to schedule care below. This will replace your original schedule.Please be sure to mark all dates that you need care with a checkmark.All dates that you do not need care should be unchecked. Full Week 6/16-19 June 16 June 16 June 17 June 17 June 18 June 18 June 19 June 19Full Week 6/22-26 June 22 June 22 June 23 June 23 June 24 June 24 June 25 June 25 June 26 June 26Full Week 6/29 - 7/2 June 29 June 29 June 30 June 30 July 1 July 1 July 2 July 2Full Week 7/6-10 July 6 July 6 July 7 July 7 July 8 July 8 July 9 July 9 July 10 July 10Full Week 7/13-17 July 13 July 13 July 14 July 14 July 15 July 15 July 16 July 16 July 17 July 17Full Week 7/20-24 July 20 July 20 July 21 July 21 July 22 July 22 July 23 July 23 July 24 July 24Full Week 7/27-31 July 27 July 27 July 28 July 28 July 29 July 29 July 30 July 30 July 31 July 31Full Week 8/3-7 August 3 August 3 August 4 August 4 August 5 August 5 August 6 August 6 August 7 August 7Full Week 8/10-14 August 10 August 10 August 11 August 11 August 12 August 12 August 13 August 13 August 14 August 14Full Week 8/17-18 August 17 August 17 August 18 August 18 Parent/Guardian Signature Sign above by holding down the left button of your mouse of by using your finger in the gray area. Leave this field blank
