OCS After School Care Wait Pool Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Please note that the After School Program is full at this time. By filling out the application below you will be added to the WAIT POOL, and if spaces open up you will be contacted. Contact informationPlease note that the parent/guardians listed below will all be approved for pick up, please do not list anyone that is not approved to pick up your child from After School Care. Please note that the parent/guardian listed as Parent/Guardian 1 will receive all email communications moving forward. Name of Parent/Guardian 1 *FirstLastPrimary Phone Number *Email Address *I would like to add another parent *YesNoName of Parent/Guardian 2 *FirstLastPrimary Phone Number *Email Address *I would like to add another parentYesNoName of Parent/Guardian 3 *FirstLastPrimary Phone Number *Email Address *I would like to add another parentYesNoName of Parent/Guardian 4 *FirstLastPrimary Phone Number *Email Address *I would like to add another parentYesNoOttawa Christian School will only release children into the care of parents/guardians and other individuals pre-authorized by parents/guardians. Please indicate below the names and telephone numbers of those individuals who you authorize to pick up your child(ren). Children will NOT be released into the care of anyone other than those listed without parental/guardian consent. Are there any additional people approved for pickups? *YesNoPlease list the names and phone numbers of each approved pickup person (in addition to parents/guardians listed above) *NextHow many children are you registering for after school care? *--- Select Choice ---123456Please note that the number of days and days of week you choose below for each child are your choice for the year. You cannot change your days a week or number of days per week following this application. If you have any questions please contact [email protected] Child 1 Name *FirstLastChild 1 Date of Birth *How many days a week will your child attend After School Care? *--- Select Choice ---2345Please select which days of the week your child will attend After School Care *MondayTuesdayWednesdayThursdayFridayDoes your child have any allergies? *YesNoPlease list allergies, and procedures for care (epipen, etc.)Child 2 Name *FirstLastChild 2 Date of Birth *How many days a week will your child attend After School Care? *--- Select Choice ---2345Please select which days of the week your child will attend After School Care *MondayTuesdayWednesdayThursdayFridayDoes your child have any allergies? *YesNoPlease list allergies, and procedures for care (epipen, etc.)Child 3 Name *FirstLastChild 3 Date of Birth *How many days a week will your child attend After School Care? *--- Select Choice ---2345Please select which days of the week your child will attend After School Care *MondayTuesdayWednesdayThursdayFridayDoes your child have any allergies? *YesNoPlease list allergies, and procedures for care (epipen, etc.)Child 4 Name *FirstLastChild 4 Date of Birth *How many days a week will your child attend After School Care? *--- Select Choice ---2345Please select which days of the week your child will attend After School Care *MondayTuesdayWednesdayThursdayFridayDoes your child have any allergies? *YesNoPlease list allergies, and procedures for care (epipen, etc.)Child 5 Name *FirstLastChild 5 Date of Birth *How many days a week will your child attend After School Care? *--- Select Choice ---2345Please select which days of the week your child will attend After School Care *MondayTuesdayWednesdayThursdayFridayDoes your child have any allergies? *YesNoPlease list allergies, and procedures for care (epipen, etc.)Child 6 Name *FirstLastChild 6 Date of Birth *How many days a week will your child attend After School Care? *--- Select Choice ---2345Please select which days of the week your child will attend After School Care *MondayTuesdayWednesdayThursdayFridayDoes your child have any allergies? *YesNoPlease list allergies, and procedures for care (epipen, etc.)Any additional information you would like to provide, please list below *NextTotal After School Care FeePayment Method *10 monthly payments via PAD (July 1 - April 1)1 full fee payment via PAD (July 1)Today's Date *Signature * Clear Signature Submit
