CHASE School and Day Care History

CHASE Daycare and School History

As part of the licensing process, the Virginia Department of Education requires After School programs to collect information from enrolled students about their previous attendance at Schools and other Day Care providers. Please provide the following information before May 14, 2026. Thank you!

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Student's Name(Required)

First Last

Previously Attended Schools(Required)

Please list the schools your child has previously attended and the dates (month, year to month, year) in which they attended the school. List the school currently attending first. Separate schools with a semi-colon;

Previoulsy Attended Day Cares(Required)

Please list any Day Care your child has previously attended and the dates (month, year to month, year) in which they attended the Day Care. List the most recent Day Care first. Separate Day Cares with a semi-colon; If they have not attended any previous Day Cares, enter "None"