EXTENDED CARE REGISTRATION 2019-2020
Please fill out this form completely to register for Before and/or After Care, including Wacky Wednesday.
Registration for 2019-2020 Extended Care is due July 31, 2019.

If you have questions regarding Extended Care registration, please contact Jamye Brown, jbrown@stpcs.org or (757) 213-0847.  

FEES
Before Care: $35/week
After Care: $62.50/week
Before & After Care: $90/week
Wacky Wednesday only: $17.00/week
Activity Fee (per year): $35/year

NOTE: PreKindergarten students who are enrolled in PreK Extended Day (full day) DO NOT need to register for Wacky Wednesday! If you have questions, contact Jamye Brown at jbrown@stpcs.org or (757) 213-0847.
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Email *
Parent/Guardian 1's Name *
If not applicable, please write "NA"
What is the best phone number to contact Parent/Guardian 1? *
If not applicable, please write "NA"
Parent/Guardian 2's Name *
If not applicable, please write "NA"
What is the best phone number to use to contact Parent/Guardian 2? *
If not applicable, please write "NA"
What is the email address to use to contact Parent/Guardian 2? *
If not applicable, please write "NA"
Name of student 1 *
Grade of student 1 *
Before Care Registration (check all that apply) *
Before Care Hours: 6:30 AM - 7:30 AM
Required
After Care Registration (check all that apply) *
After Care Hours: 3:15/3:30 PM - 6:00 PM, Wacky Wednesday only 1:15/1:30 PM - 3:15/3:30 PM
Required
I understand I will be charged a one time activity fee of $35 when I register my child for After Care. This will be billed in September. *
I understand I will be billed for the days my child is registered for After Care, regardless of whether he/she attends. *
I understand if my After Care needs change during the year, it is my responsibility to contact the Extended Care Director *
Do you need to register another student? *
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