Extended School Day Information Form

Families that had their child accepted to the Extended School Day Program should fill out the following form.

Your Child's Name Your Child's Name First Last
Attendance Preference (please select one)

Attendance Preference (please select one) Monday thru Thursday only Saturdays only Both Monday thru Thursday and Saturday
Are there any days of the week we should not expect your child due to other obligations?
What are some of your child's interests?
What are some things that motivate your child that may help us in helping your child to be successful?