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 6/16-18 June 16 June 16 June 17 June 17 June 18 June 18Full Week 6/21-25 June 21 June 21 June 22 June 22 June 23 June 23 June 24 June 24 June 25 June 25Full Week 6/28 - 7/2 June 28 June 28 June 29 June 29 June 30 June 30 July 1 July 1 July 2 July 2Full Week 7/6-9 (MLEDP Closed Monday July 5) July 6 July 6 July 7 July 7 July 8 July 8 July 9 July 9Full Week 7/12-16 July 12 July 12 July 13 July 13 July 14 July 14 July 15 July 15 July 16 July 16Full Week 7/19-23 July 19 July 19 July 20 July 20 July 21 July 21 July 22 July 22 July 23 July 23Full Week 7/26-30 July 26 July 26 July 27 July 27 July 28 July 28 July 29 July 29 July 30 July 30Full Week 8/2-6 August 2 August 2 August 3 August 3 August 4 August 4 August 5 August 5 August 6 August 6Full Week 8/9-13 August 9 August 9 August 10 August 10 August 11 August 11 August 12 August 12 August 13 August 13 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
