Required

Extended Day Drop-In Request Form

Parents can submit a drop-in service request at least 24 hours in advance. Expect to receive an e-mail notification from the Extended Day office confirming your request.

The 2022–23 drop-in rate is $14/hour and payment is billed monthly from Student Billing. For questions, please call Elise Ernette at (704) 943-4964 or e-mail elise.ernette@charlottecountryday.org.

Student Information

Student Namerequired
First Name
Last Name
Student ID can be found on your ID card or the top of your billing statement.​

Your Information

Parent Namerequired
First Name
Last Name
Are you faculty/staff?

Drop-In Information

Do you have an ongoing Extended Day contract?required

Requested Care

Must contain a date in M/D/YYYY format
(please indicate time between 2-6 pm in half hour increments)
(Please list actual dates--i.e. October 4, 5, 8)
(please indicate time between 2-6 pm in half hour increments)
Include any additional information you think would be helpful for us to know.

Carpool Information

Is your student being picked up in a grade level carpool?required