MyProcare Access Request Form

MyProcare Access Request Form

For A+, Before Care and Private Schools
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Once completed, a text (SMS) message or email will be sent to you with the link to get you started. Please note your child(ren) must be enrolled in the program for us to text and/or email you the link.
Child's Name*

First NameLast Name
School*
Parent/Legal Guardian Name*

First NameLast Name
Preferred Method of getting the link*

Mobile PhoneEmailBoth
Cell Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Name

First NameLast Name
Should be Empty: