Morning Care and Dismissal Form

Please complete registration form below. Thank you!

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Grade of Student REQUIRED Please fill out this field. Please enter valid data.

Address of Student REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Attending Morning Program REQUIRED Please fill out this field.

Attending Extended Day Program (UPK students only) REQUIRED Please fill out this field.

Attending TSL after school program REQUIRED Please fill out this field.

TSL on these days Monday Tuesday Wednesday Thursday Friday

Being Picked UP REQUIRED Please fill out this field.

Picked Up From School Monday Tuesday Wednesday Thursday Friday

Taking Bus Home REQUIRED Please fill out this field.

Taking Bus Home Monday Tuesday Wednesday Thursday Friday

Bus District Please enter valid data.

Parent/Caregiver Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parent/Caregiver Email REQUIRED Please fill out this field. Please enter an email address.

Questions/Comments

Sacred Heart School
Troy, NY