EDLC - Extended Day Learning Centers Online Registration

Registration

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The EDLC Program serves children from Transitional Kindergarten-Fifth Grade currently attending school in the Oakley Union Elementary School District. This agreement is a legal and binding contract between the Oakley Union Elementary School District and Parent/Guardian specifying childcare services for your child. Both parties agree to complete registration annually.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

List at least 3 Emergency Contacts<br/>(Not Contact #1 or #2)<br/>Include Name and Phone Number*

Health Insurance Carrier*

Authorized to Pick-Up: 1*

Contact #1

Parent/Guardian First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer

Employer Phone

Employer Notes

Contact #2

Parent/Guardian First Name*

Last Name*

Type*

How can we contact you?

Home Phone

Work #

Cell # *

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Current Grade Level*

Are you currently using school provided transportation? (Y/N)*

Disabilities (Leave blank if none)

Special Needs (Leave blank if none)

Allergies (Leave blank if none)

Medications (Leave blank if none)

Primary Doctor and Phone Number*

Dentist Name and Phone Number

Any special health concerns?*

The EDLC tuition is based on the school year of July 29, 2025 through June 5, 2026. For the 2025-26 school year, full time tuition, which includes before and after school care, will be $575.00 per month. Part-time tuition, which includes after school care only, will be $395.00 per month. EDLC will be closed for Fall, Winter, Spring, and Summer breaks, Holidays, and Staff Development Days. Please refer to our District calendar for specific dates.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Current Grade Level*

Are you currently using school provided transportation? (Y/N)*

Disabilities (Leave blank if none)

Special Needs (Leave blank if none)

Allergies (Leave blank if none)

Medications (Leave blank if none)

Primary Doctor and Phone Number*

Dentist Name and Phone Number

Any special health concerns?*

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Current Grade Level*

Are you currently using school provided transportation? (Y/N)*

Disabilities (Leave blank if none)

Special Needs (Leave blank if none)

Allergies (Leave blank if none)

Medications (Leave blank if none)

Primary Doctor and Phone Number*

Dentist Name and Phone Number

Any special health concerns?*

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Current Grade Level*

Are you currently using school provided transportation? (Y/N)*

Disabilities (Leave blank if none)

Special Needs (Leave blank if none)

Allergies (Leave blank if none)

Medications (Leave blank if none)

Primary Doctor and Phone Number*

Dentist Name and Phone Number

Any special health concerns?*

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Current Grade Level*

Are you currently using school provided transportation? (Y/N)*

Disabilities (Leave blank if none)

Special Needs (Leave blank if none)

Allergies (Leave blank if none)

Medications (Leave blank if none)

Primary Doctor and Phone Number*

Dentist Name and Phone Number

Any special health concerns?*

Enroll in Classes

Select Class *

Add Another Student