Aftercare/Morning Care Family Registration 2023-2024

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Please complete the questions on this form to register your child/children for our Morning or Aftercare Program. There is a ONE TIME Registration Fee of $25 per family that can be sent into school with your child c/o Mrs. Ryan.

Email *

Monthly statements will be sent out at the end of each month. By checking the box below, you agree to have your full payment deducted automatically each month through FACTS to cover the cost of your child care.
*

I agree to have my FACTS account automatically deducted for any Morning or Aftercare fees/charges.

Required

Please list the best e-mail to send your monthly statements to. *

Family Name: *

Please list all children in the family that will be attending morning or aftercare and the class/grade they are in. *

Please list any allergies that your child or children may have. *

Please list the name and best contact number for each parent. *

Please list any person that you authorize to pick up your child/children from Aftercare. *

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