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Midtown AfterCare MAC
IMPORTANT TO READ: This application is DUE BY JULY 15. There will be limited space. (first come basis) There is a one time Activity Fee of $50 that is due by August 15. Completing this form does not guarantee your child's spot. You will receive an email confirming if your child's spot.
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Ďalšie informácie
* Označuje povinnú otázku
E‑mail
*
Vaša e-mailová adresa
Student Name
*
Vaša odpoveď
Student Grade Level SY 21-22
*
K
1
2
3
4
5
6
7
8
Please check the box for the option you are applying for.
*
OPTION 1- Dismissal-5:30PM, Full Time, 5 days a week, ($200 a month) Includes Snack, HW Time, Guided Activities, and Choice Time
OPTION 2- Dismissal-4:30PM, 5 days a week, ($100 a month) Includes Snack, HW Time
OPTION 3- Fridays ONLY, dismissal-5:30PM Includes Snack, Fitness Activities, Guided Activities, and Choice Time
OPTION 4- Option 2 and Option 3 ($125 a month)
Povinné
I am in need of scholarship assistance.
*
Yes
No
If you checked yes to the question above, please provide email to use when confirming acceptance of scholarship amount.
Vaša odpoveď
Parent/Guardian #1 Name:
*
Vaša odpoveď
Parent/Guardian #1 Email
*
Vaša odpoveď
Parent/Guardian #1 Cell Number
*
Vaša odpoveď
Parent/Guardian #1 Work Number
Vaša odpoveď
Parent/Guardian #2 Name
Vaša odpoveď
Parent/Guardian #2 Email
Vaša odpoveď
Parent/Guardian #2 Cell Number
Vaša odpoveď
Parent/Guardian #2 Work Number
Vaša odpoveď
Emergency Contact #1 Name (other than parent/guardians)
*
Vaša odpoveď
Emergency Contact #1 Cell Number
*
Vaša odpoveď
Emergency Contact #1 Other Number
Vaša odpoveď
Emergency Contact #2 Name
*
Vaša odpoveď
Emergency Contact #2 Cell Number
*
Vaša odpoveď
Emergency Contact #2 Other Number
Vaša odpoveď
We will provide our Midtown AfterCare staff with the health information provided on your students SY 21-22 registration. However, please list anything you would like to alert our AfterCare staff of.
Vaša odpoveď
If my child is offered a slot, I agree to the following: Midtown After Care Terms- Midtown After Care will not run on days that school is closed or closed early for unforeseen circumstances. The fees on the front side are monthly rates. It also does not run on days when Baltimore City Schools have cancelled all after-school activities. All students MUST be picked up by the end time of THEIR option. If they are picked up late, a cost of $1 per minute is due to the staff member there with them at pick up. It is important to the sustainability of our program that students are picked up ON TIME! All students must be signed out by the adult picking them up. This means all adults must come down and sign them out in the sign out book. Continuous, disruptive disrespectful, or unsafe behavior will not be tolerated. We will work with each child and family to meet expectations. I agree to the above terms and will make the payment of $50 by August 15, 2021. (Checks should be made payable to The Midtown Academy. You can also pay in cash or by credit card using the Make Payment on our website-
themidtownacademy.org
Just be sure to note it is for AfterCare)
*
Yes, I agree to the terms above.
No, I do not agree to the terms above.
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