Child's Name Child's Home School Parent's Name Parent Email Address Please check the dates you would like to schedule care below. If you need all of the days in any week, you can select the checkbox in blue next to "Full Week" and it will fill the whole week in for you.This submission will replace your original schedule, so 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 6/13-17 June 13 June 13 June 14 June 14 June 15 June 15 June 16 June 16 June 17 June 17Full Week 6/20-24 June 20 June 20 June 21 June 21 June 22 June 22 June 23 June 23 June 24 June 24Full Week 6/27 - 7/1 June 27 June 27 June 28 June 28 June 29 June 29 June 30 June 30 July 1 July 1Full Week 7/5-8 (MLEDP Closed Monday July 4) July 5 July 5 July 6 July 6 July 7 July 7 July 8 July 8Full Week 7/11-15 July 11 July 11 July 12 July 12 July 13 July 13 July 14 July 14 July 15 July 15Full Week 7/18-22 July 18 July 18 July 19 July 19 July 20 July 20 July 21 July 21 July 22 July 22Full Week 7/25-29 July 25 July 25 July 26 July 26 July 27 July 27 July 28 July 28 July 29 July 29Full Week 8/-1-5 August 1 August 1 August 2 August 2 August 3 August 3 August 4 August 4 August 5 August 5 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
