Immaculate Heart -Summer 2025 | Diocese of Jefferson City

IHM - Immaculate Heart of Mary - SUMMER 2025

There are two options for summer care. Full time (5 days a week) or part time (2 days a week). If you choose to do part time care, you will need to specify the two days a week the child will be attending. Part-time care will be 1/2 of your full-time rate

Company

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Parent 1/Guardian Information

Parent 1/Guardian Name(Required)

First Last

Cell Phone(Required)

Child Information

Child's Name(Required)

First Middle Last

Date of Birth(Required)

Sex(Required)

Male

Female

Will your child be attending full-time or part-time?(Required)

Full Time

Part Time (2 days a week)

If part-time, please select days your child will be attending(Required)

Tuesday

Wednesday

Thursday

IHM - Immaculate Heart of Mary - SUMMER 2025

Parent 1/Guardian Information

Child Information

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