Before/After School Enrollment Form

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Before/After School Program Enrollment Form 2020-2021

Monthly Program Fees
Before School: 7:00am-8:00am $100
After School:Monday,Tuesday,Thursday,Friday 3:00pm-6:00pm, Wednesday 12:00pm-6:00pm $250, Sibling $180
After School: Wednesday Only 12:00pm-6:00pm $80

Payment Procedures
Payment for August is due by July 17th. Payment for the following months are due by the 1st of each month. You will be invoiced monthly through your ParentSquare account.

Late Fees
Program fees are due by the 1st of each month (except August). If fees are not paid by the 5th of the month, the account will be charged a $50 late fee and a hold may be placed on your enrollment.

*Families will not be able to enroll or exit the Before or After School Program again until after Fall Break 10/5-10/9.

*Fill out a form for each student

Email *

Student Name *

Student Grade for 2020-2021 *

Please select the program you are enrolling in *

Before School

After School (Full Time)

After School (Wednesday Only)

Required

THE FOLLOWING ARE NAMES AND CONTACT NUMBERS OF THE PERSON AUTHORIZED TO PICK UP MY STUDENT FROM THE AFTER SCHOOL PROGRAM OR TO BE CALLED IN CASE OF AN EMERGENCY

Send me a copy of my responses.

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