May 2019 Request Form

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
May 6 - 10, 2019
May 13 - 17, 2019
May 21- 24, 2019

*Holiday May 20, 2019

May 27 - 31, 2019
Participant Information
Parent/ Guardian Information
Other Information