2023-2024 After-School Care: Half Day Hangout Program Registration
The Child Care Program offers an After- School Half-Day program for families interested in registering their child for care on early dismissal days when care is provided during Collegium's 2023-2024 school year.

In order to register your child(ren) for the 2023-2024 ASC: Half Day Hangout program, please do the following:
     #1. Submit this completed form.
     #2. Pay the one-time non-refundable registration fee – $30 per child
           This fee is due regardless of the amount of half days in which you register your child.
     #3. Pay the Half Day Hangout Program Tuition - $75 per child per half day. There are no sibling discounts                    offered. 

Please submit fees using one of the following payment methods:
1) Online via SchoolCafe 
2) Via cash, check or money order (made payable to Collegium Charter School)

Payments may be mailed or submitted in person to the following address:
Collegium Charter School
Attn: Ms. LaNae Horsey
435 Creamery Way, Suite #300,
Exton, PA 19341

**Cash may only be submitted in person. Please refrain from mailing a cash payment.**

Fees must be submitted in a sealed envelope with the ASC student(s) first and last names indicated on the front. Fees must be paid-in-full 3 days in advance of the half day. Fees must be paid in full before a child can be placed on the waiting list and prior to a student attending the half day program.

The 2023-2024 ASC: Half Day Hangout program registration fee is not applied to the cost of any of the half days and it is non-refundable. Should an emergency or weather-related closing cause the ASC program to cancel care on a published half day, families will have the option of receiving a refund for that specific half day tuition or to transfer the payment to a future half day.

Spaces are limited and are assigned on a first come, first served basis (per half day) In order for your child to be fully registered, a completed form AND full payment are due. Confirmation of registration will be provided via email.

Questions? Please contact Ms. LaNae Horsey (lhorsey@ccs.us).

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Child's First Name *
Please list the first name of the child you want to register in the Half Day Hangout program.
Child's Last Name *
Please list the first name of the child you want to register in the Half Day Hangout program.
Child's 2023-2024 Grade Level *
Child's 2023-2024 School Building *
I am registering my child for the half day program on the following early dismissal dates *
Please note: the half day program is only available on the dates listed below.
Required
Child's Medical Alerts *
If medical alerts do not exist, please select "N/A". If medical alerts exist, please describe in "Other". In the event of an emergency, every effort will be made to notify parents/guardians. If necessary, a child(ren) will be transported to the closest medical facility by emergency vehicle. We will continue to attempt to notify parents/guardians when possible.
Child's Allergies *
If allergies are not known, please select "N/A". If known allergies exist, please describe in "Other". In the event of an emergency, every effort will be made to notify parents/guardians. If necessary, a child(ren) will be transported to the closest medical facility by emergency vehicle. We will continue to attempt to notify parents/guardians with possible.
Child's Dietary Restrictions *
If dietary restrictions are not applicable, please select "N/A". If dietary restrictions exist, please describe in "Other". In the event of an emergency, every effort will be made to notify parents/guardians. If necessary, a child(ren) will be transported to the closest medical facility by emergency vehicle. We will continue to attempt to notify parents/guardians with possible.
Child's Street Address *
Child's City *
Child's Zip Code *
Parent/Guardian #1 First Name *
Parent/Guardian #1 Last Name *
Parent/Guardian #1 Home Phone Number *
Please provide phone number as XXX-XXX-XXXX. If you do not have a Home Phone Number, please write "N/A".
Parent/Guardian #1 Cell Phone Number *
Please provide phone number as XXX-XXX-XXXX. If you do not have a Cell Phone Number, please write "N/A".
Parent/Guardian #1 Work Phone Number *
Please provide phone number as XXX-XXX-XXXX. If you do not have a Work Phone Number, please write "N/A".
Parent/Guardian #1 Primary Email Address *
ASC: Half Day Program registration confirmation is provided via email message. Please provide your primary email address below to receive registration confirmation and any additional information related to the ASC program.
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Parent/Guardian #2 Home Phone Number
Please provide phone number as XXX-XXX-XXXX. If you do not have a Home Phone Number, please write "N/A".
Parent/Guardian #2 Cell Phone Number
Please provide phone number as XXX-XXX-XXXX. If you do not have a Cell Phone Number, please write "N/A".
Parent/Guardian #2 Work Phone Number
Please provide phone number as XXX-XXX-XXXX. If you do not have a Work Phone Number, please write "N/A".
Parent/Guardian #2 Primary Email Address  
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