Weekly Session Form – Dayton Please ensure your membership is active before filling out the weekly session form. Parent Name(required) Member Name(s)(required) Email(required) Phone Number(required) Select School(required) Dayton Elementary Sutro Elementary Riverview Elementary Dayton Intermediate Dayton High Select Week(required) Dec. 5-9 Please select your member dues for this week (select all that apply)(required) Before school one member – $15 a week Before school two members – $25 a week Before school three members – $35 a week Before school four or more members – $45 a week After School – $0 On financial assistance – $0 Other Details Send
