Saturday Care Request Form Parent's Name(required) Parent's Student ID Number Email(required) Phone(required) Child(ren)'s Name(s) AND Date(s) of Birth--PLEASE LIST EACH CHILD INDIVIDUALLY(required) Date of Care Requested(required) Is this your child's first visit to LCLA?(required) Yes No I have read and understand Little Chicks policies and procedures.(required) Submit Δ Like this:Like Loading...