2019/2020 Afterschool at LREI Drop-In Registration Form
If your student will be dropping in to our Afterschool program, please complete this form in its entirety.  

Afterschool at LREI Drop-In fee: $45/day.

Contact the Afterschool Office at 212-477-5316 with any questions or via email at afterschooldropin@lrei.org.

*Afterschool at LREI Late Pick-up Policy* Afterschool ends promptly at 6:00pm. The following late pick-up fees will be automatically incurred for any students picked up after 6:00pm:  after 6:05pm, $5.00; after 6:15pm, $20.00; after 6:30pm, $30.00; after 6:45pm, $40.00; after 7:00pm $50.00.
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Student Information
Student Name *
Grade/Class *
Parent/Guardian Name *
Phone Number *
Allergy/Medical Information *
Authorized Pick-up (Name/s) *
Afterschool at LREI Late Pick-Up Policy
Afterschool ends promptly at 6:00pm. The following late pick-up fees will be automatically incurred for any students picked up after 6:00pm:  after 6:05pm, $5.00; after 6:15pm, $20.00; after 6:30pm, $30.00; after 6:45pm, $40.00; after 7:00pm $50.00.
I have read and agree to the terms of the Afterschool at LREI Late Pick-Up Policy *
Required
Drop-In & Payment Information
Drop-In Date/s for Afterschool at LREI *
Payment Method *
Required
If paying by Credit Card,
Name on Card
Card Number
Expiration Date
CVV
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