Pinecrest Pavilion: Intent to Use After-Care

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Please complete this form if you intend to utilize after care for Pinecrest Pavilion 2022. If you are not intending to use after-care at all during summer camp, you do not need to complete this form.

After-care is available until 6 p.m. for all ages.

K-6 hours are 3:35-6:00 p.m., and K-6 after-care is billed at $13.50/hour with a session cap for 1-week sessions at $100 and a session cap for 2-week sessions at $200; each session is billed separately.

The preschool after-care hours are 12:05-6:00 p.m. Preschool after-care is billed at $13.50/hour with a session cap for 1-week sessions at $188, and a session cap for 2-week sessions at $375; each session is billed separately.

Name of Parent Completing This Form *

Email Address of Parent Completing This Form *

Please list all Student Name(s) that you intend will use after-care and their rising grade level (grade level for the next school year). Ex: Juan Gomez-1st Grade, Ashley Gomez-Preschool *

Please select the sessions your student(s) will use after-care: *

Session 1: June 13-17

Session 2: June 21-July 1 (no camp June 20)

Session 3: July 11-22

Session 4: July 25- August 5

Session 5: August 8-12

Required

Please indicate what time you expect to pick up your student(s) from after-care. The more specific information you can provide helps with our planning. *

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