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CAC Reservation Form
CAC One Time Reservation Form
Reservation will be complete when a confirmation email is received.
Parent Name
*
First
Last
Phone
*
Email
*
Child 1 Name
*
First
Last
Age In Months (if under 3 years old)
Select
3-12 months
13 months
14 months
15 months
16-27 months
28 months
29 months
30-35 months
Age In Years (3+)
Select
3
4
5
6
7
8
9
10
11
12
13
Reservation Date
*
MM slash DD slash YYYY
Start Time
*
:
Hours
Minutes
AM
PM
AM/PM
End Time
*
:
Hours
Minutes
AM
PM
AM/PM
The CAC is open Monday - Thursday from 8am-8:30pm; Friday from 8am-7pm and Saturday/Sunday from 8am-1pm. Childcare reservations are limited to 2 hours.
Child 2 Name
First
Last
Age In Months (if under 3 years old)
Select
3-12 months
13 months
14 months
15 months
16-27 months
28 months
29 months
30-35 months
Age In Years (3+)
Select
3
4
5
6
7
8
9
10
11
12
13
Reservation Date
MM slash DD slash YYYY
Start Time
:
Hours
Minutes
AM
PM
AM/PM
End Time
:
Hours
Minutes
AM
PM
AM/PM
The CAC is open Monday - Thursday from 8am-8:30pm; Friday from 8am-7pm and Saturday/Sunday from 8am-1pm. Childcare reservations are limited to 2 hours.
Child 3 Name
First
Last
Age In Months (if under 3 years old)
Select
3-12 months
13 months
14 months
15 months
16-27 months
28 months
29 months
30-35 months
Age In Years (3+)
Select
3
4
5
6
7
8
9
10
11
12
13
Reservation Date
MM slash DD slash YYYY
Start Time
:
Hours
Minutes
AM
PM
AM/PM
End Time
:
Hours
Minutes
AM
PM
AM/PM
The CAC is open Monday - Thursday from 8am-8:30pm; Friday from 8am-7pm and Saturday/Sunday from 8am-1pm. Childcare reservations are limited to 2 hours.
Child 4 Name
First
Last
Age In Months (if under 3 years old)
Select
3-12 months
13 months
14 months
15 months
16-27 months
28 months
29 months
30-35 months
Age In Years (3+)
Select
3
4
5
6
7
8
9
10
11
12
13
Reservation Date
MM slash DD slash YYYY
Start Time
:
Hours
Minutes
AM
PM
AM/PM
End Time
:
Hours
Minutes
AM
PM
AM/PM
The CAC is open Monday - Thursday from 8am-8:30pm; Friday from 8am-7pm and Saturday/Sunday from 8am-1pm. Childcare reservations are limited to 2 hours.
Child 5 Name
First
Last
Age In Months (if under 3 years old)
Select
3-12 months
13 months
14 months
15 months
16-27 months
28 months
29 months
30-35 months
Age In Years (3+)
Select
3
4
5
6
7
8
9
10
11
12
13
Reservation Date
MM slash DD slash YYYY
Start Time
:
Hours
Minutes
AM
PM
AM/PM
End Time
:
Hours
Minutes
AM
PM
AM/PM
The CAC is open Monday - Thursday from 8am-8:30pm; Friday from 8am-7pm and Saturday/Sunday from 8am-1pm. Childcare reservations are limited to 2 hours.
Reminder: if you are unable to attend your permanent reservation, please call and cancel; the permanent reservation will still be available to you on a weekly basis. If you miss THREE consecutive times without a cancellation call, permanent reservation will be VOID. Reservation will be complete when a confirmation email is received.
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