2024 VCC Extended Care Form

June 3rd-June 7th, 12pm-4pm | VCC Extended Care offered each day for an additional $25/child/day. Those attending extended care will need to bring a lunch each day. After lunch we will take a small "rest break" (reading, laying down, listening to music.) Then we will play outside and end the day with an art activity or project and play. Pick up by 4pm.

Parent Name

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Email

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This address will receive a confirmation email

Phone

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Address

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Extended Care needed for:

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Please select all that apply.

Monday Tuesday Wednesday Thursday Friday

Children Information

Child's Name

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Age

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Child's Name

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Age

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Child's Name

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Age

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Payment

Extended Care is additional $25/day per child. Please add up the correct number of children and days you're registering for. If you need a number not on this form, please contact me at Jillian@uumc.org

Payment

1 Kid, 1 day ($25) 1 kid, 2 days ($50) 1 kid, 3 days ($75) 1 kid, 4 days ($100) 1 kid, 5 days ($125) 2 kids, 1 day ($50) 2 kids, 2 days ($100) 2 kids, 3 days ($150) 2 kids, 4 days ($200) 2 kids, 5 days ($250) 3 kids, 1 day ($75) 3 kids, 2 days ($150) 3 kids, 3 days ($225) 3 kids, 4 days ($300) 3 kids, 5 days ($375)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 3rd-June 7th, 12pm-4pm

VCC Extended Care offered each day for an additional $25/child/day. Those attending extended care will need to bring a lunch each day. After lunch we will take a small "rest break" (reading, laying down, listening to music.) Then we will play outside and end the day with an art activity or project and play. Pick up by 4pm.

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