School Age Care for Essential Employees

School Closure Care for Students of Essential Employees

This care is offered to school age children (Preschool through age 12) of health care staff, school staff, and other emergency workers critical to the state's response to COVID-19.

If you plan on using this service, please complete this survey. Hours of Operation 6:15 a.m. - 5:30 p.m.

*Required

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* 1. Parent Name (First and Last Name)*

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* 2. Email address *

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* 3. Mobile or Home Phone Number (Current)*

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* 4. Parent Place of Employment*

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* 5. Parent Role*

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* 6. Supervisor's Name*

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* 7. Please list all children and their age who will require child care (First & Last Name, age)*

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* 8. What days will you require care and at what time? Care hours will be 6:15 a.m. til 5:30 p.m.*