January 2020

Please select the dates (minimum 4) that you require after school care as well as the other fields.

For multiple participants from the same family, we ask that you complete this form again.

All Dates Listed Below
January 6-10, 2020
January 13-17, 2020
January 20-24, 2020
January 27- 30, 2020
Participant Information
Parent / Guardian Information
Other Information