Emergency Drop-In Form, Extended Day and After Care

Please use this form if an unexpected event requires that you leave your Early Childhood student in the care of Brooklyn Waldorf School for Extended Day (1:00 - 3:00 PM) or After Care (3:00 - 5:45 PM). The front desk will contact you to confirm availability.

Child's Name *

Child's Teacher *

Ms Gun

Ms Gillian

Mx Monika

Ms Sibrizzi

Your Name *

Your Email *

Phone Number: *

How many days do you need? * 🛈

	1-3PM (Extended Day) $30 per day
	3-5:45PM (AfterCare) $45 per day

Please list the date(s) you will need Extended Day:

+-

Please list the date(s) you will need Aftercare:

+-

Total:

$0.00