THE WILSON SCHOOL
VACATION CHILD CARE REGISTRATION FORM
Child's Name
Grade
PK
JK
SK
1
st
2
nd
3
rd
4
th
5
th
6
th
Child's Name
Grade
PK
JK
SK
1
st
2
nd
3
rd
4
th
5
th
6
th
Address
Home Phone
Work Phone
Parent Signature
Emergency Contact
Phone
Date
Times Needed
Total Hours