School Days Out

Parent/Guardian First Name *

Parent/Guardian Last Name *

Address *

City *

State *

Postal code *

Phone *

Email *

How may kids will be attending schools out daycare *

Child 1 - First Name *

Child 1 - Last Name *

Child 1 - Age *

Child 1- Birthdate *

Child 1- School Grade *

List any medical conditions Child 1 *

List any allergies Child 1 *

Does your child have any know food allergies? If yes, describe *

Does your child know how to swim? *

Child 1

Yes
No
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Who will be picking up or dropping your child off? *

Are there any other things that you would like to tell us about your child? *

Please select the school out days you want for daycare *

10/3/2024 - Madison

10/4/2024 - Sun Prairie & Madison

10/18/2024 - Monona Grove

10/24/2024 - Sun Prairie

11/4/2024 - Madison

11/5/2024 - Madison

11/27/2024 - Sun Prairie, Madison, Monona Grove

11/29/2024 - Sun Prairie, Madison, Monona Grove

12/2/2024 - Madison

12/9/2024 - Sun Prairie

12/23/2024 - Winter Break

12/26/2024 - Winter Break

12/27/2024 - Winter Break

12/28/2024 - Winter Break

12/29/2024 - Winter Break

12/30/2024 - Winter Break

12/31/2024 - Winter Break

01/1/2025 - Sun Prairie, Monona Grove

01/2/2025 - Sun Prairie, Monona Grove

01/3/2025 - Sun Prairie, Monona Grove

1/17/2025 - Monona Grove

1/20/2025 Sun Prairie, Madison, Monona Grove

1/27/2025 Sun Prairie, Madison, Monona Grove

02/21/2025 - Madison, Monona Grove

02/24/2025 - Madison, Monona Grove

02/28/2025 - Sun Prairie

03/24/2025 - Sun Prairie, Madison (Spring Break)

03/25/2025 - Sun Prairie, Madison (Spring Break)

03/26/2025 - Sun Prairie, Madison (Spring Break)

03/27/2025 - Sun Prairie, Madison (Spring Break)

03/28/2025 - Sun Prairie, Madison (Spring Break)

03/29/2025 - Monona Grove (Spring Break)

03/30/2025 - Monona Grove (Spring Break)

03/31/2025 - Monona Grove (Spring Break)

4/1/2025 - Monona Grove (Spring Break)

4/11/2025 - Madison

4/18/2025 - Sun Prairie

4/21/2025 Monona Grove

5/2/2025 - Madison

5/23/2025 - Sun Prairie

Would you like Wisco Kidz Place to provide lunch for all the daycare days you selected. There is a fee of $5.00 per lunch per daycare day selected. This will be billed separate.

Please select Yes or No *

your answer here

Yes
No
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Child 2 - First Name *

Child 2 - Last Name *

Child 2 - Age *

Child 2 - Birthdate *

Child 2 - School Grade *

List any medical conditions (Child 2) *

List any allergies Child 2 *

Does your child have any know food allergies? If yes, describe (Child 2) *

Does your child know how to swim? (Child 2) *

Please Select Answer Here

Yes
No
No elements found. Consider changing the search query.
List is empty.

Who will be picking up or dropping your child off? *

Are there any other things that you would like to tell us about your child? *

Child 3 - First Name (schools out daycare) *

Child 3 - Last Name *

Child 3 - Age *

Child 3 - Birthdate *

Child 3 - School Grade *

List any medical conditions (Child 3) *

Does your child have any know food allergies? If yes, describe (Child 3) *

Does your child know how to swim? (Child 3) *

Does your child know how to swim? (Child 3)

Yes
No
No elements found. Consider changing the search query.
List is empty.

Who will be picking up or dropping your child off? *

Are there any other things that you would like to tell us about your child? *

Ensure your child's spot by making a non-refundable application fee of $50. Please note that spots are limited to 15 kids per day and will be allocated on a first-come, first-served basis. In the event that your child is not selected after submitting the application fee, you will receive a 60-minute open play gift card to Wisco Kidz Place as compensation. Reserve your spot now! * *

$ 45

*100% secure & safe payments*

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