Required

Post Oak Childcare Registration

If you would like to register for childcare, please complete the form below. Only Post Oak students registered in advance of an event are able to attend childcare. (No drop-ins, please.)

The cost is $5 per child and will be billed on your monthly statement.

Parent First Namerequired

Parent Last Namerequired

Emailrequired

Phonerequired

For which date are you requesting child care?required

Must contain a date in M/D/YYYY format

Which event will you be attending while your child(ren) is in care?required

Other

Number of Studentsrequired

Student Name (1)required

Student Level (1)required

Student Name (2)required

Student Level (2)required

Student Name (3)required

Student Level (3)required

Student Name (4)required

Student Level (4)required

Student Name (5)required

Student Level (5)required

Number of Students Total (for payment)

Payment Information

Emailrequired

Provide an email address for the receipt.

Please select a payment typerequired

Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year

Post Oak Childcare Registration

Payment Information

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