Wufoo
Geist Montessori ELearning Childcare Needs
Please let us know your needs regarding eLearning childcare from 11/16 - 11/30.
Name
*
First
Last
Email
*
Please let us know if you would be interested in attending a full day YMCA program (with an additional fee) while your child is completing eLearning.
*
Yes, I will definitely need full day care.
I'm not sure if I will need full day care, yet.
No, I will not need full day care.
If yes, please let us know the general time frame you would need care. (Ex. 9am-5pm)
Please let us know the total number of children ages 5-14 who would be attending.
Please let us know your child(ren)'s grade level(s). (Check all that apply.)
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
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