FYM EXTENDED HOURS

Please fill out this form by Friday at 4:00 PM for the upcoming week.

Email *

First & Last Name of Student *

What class is your child in? *

Which days does your child need care? *

Monday Tuesday Wednesday Thursday Friday

Care Type *

Estimated pick-up time for After School? * We understand that you may not know exact timing, but any estimate helps.

I understand for every 15 minutes after 6:00 PM I will be charged an additional $20 *

Special Notes