ICCS Aftercare Registration Form 2021-2022

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This year’s aftercare program will be run by Ms. Wendi Fournerat. Aftercare is from 3:00 - 5:30 p.m.

At the current time, no “drop-in” students will be allowed to attend until further notice. All families will be billed the full-time rate, $40/week for the first student, and $25/week for each additional student through the FACTS system.

Registration forms for those planning to attend will be used to properly serve students and to staff the program. Please complete and submit this form by noon on Friday, August 13, 2021.

Student's Name and Grade: (list all students attending) *

Parent/Guardian Name and contact number: *

Aftercare Agreement: *

Parents and student(s) agree to follow the rules and guidelines of the Aftercare program as listed in the Parent/Student Handbook.

Required

Billing Agreement *

I understand that all families will be billed the full-time rate, $40/week for the first student, and $25/week for each additional student through the FACTS system.

Required

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