Child Information

Before Care Information

Please indicate all days of the week that apply.
 Yes
Monday
Tuesday
Wednesday
Thursday
Friday

After Care Information

Please indicate all days of the week that apply.
 Yes
Monday
Tuesday
Wednesday
Thursday
Friday
Please indicate all sports that apply.
 Yes
Baseball
Basketball
Cheerleading
Cross Country
Fastpitch Softball
Football
Track
Volleyball
Wrestling
Adults and/or coaches authorized to pick up and sign my child out of NDES After Care Program. (We realize you may not know your winter/spring coaches. When that information becomes available or information changes, please update the office.)
 First NameLast Name
#1
#2
#3
#4
The Before and After Care program will use the Emergency Medical Authorization information supplied on the Back-to-School form.

Contact Information