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SACC Interest Form

Interest Form Banner

If you are interested in after-school child care (SACC) please complete the interest form below. Required fields marked with an asterisk * This is a fee-based program and we do not accept any financial vouchers provided by the state at this time. We will contact you when a spot becomes available for your child to enter the program.

Child's First Name:*

Answer required for "Child's First Name:"

Child's Last Name:*

Answer required for "Child's Last Name:"

School Year*

Answer required for "School Year"

Summer 2025

2025 - 2026 School Year

Contact Information

Parent/Guardian First Name:*

Answer required for "Parent/Guardian First Name:"

Parent/Guardian Last Name:*

Answer required for "Parent/Guardian Last Name:"

Phone Number:*

Number Required

Work Phone

Number Required

Email Address:*

Answer required for "Email Address:"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"