336 Scholar After School Care Registration 
2804 Randleman Road Greensboro NC

Further communication:
Contact us via phone 704-738-5782 or email inquire@whatsupgenius.com

2023 September 4 - June 17, 2024
Monday- Friday 2PM-6PM


Weekly Rates Per Child:
$25- After School Only
$50- After School & Ride To After School
$75- After School, Ride To After School & Home

Monthly Rates Per Child:
$95- After School Only
$195- After School & Ride To After School
$295- After School, Ride To After School & Home


*Sibling discount may apply. Provide sibling details for final rate. Its determined based on school ( same or different location) and quantity of siblings attending.

Rides are applicable for schools and homes within 25 miles of 27406. Further locations will require student to have their own ride to after school. 

Registration Fee $25 must be paid to secure student after care and or rides.
Invoice will be sent for payment collection. All sales are final and nonrefundable.

*** Currently Not Accepting vouchers ***
Sign in to Google to save your progress. Learn more
Parent(s) Details 
Provide Parent(s) Guardian Details and Emergency Contact .
Parent(s) First & Last Name *
Parent(s) Full Home Address  *
Parent(s) Number  *
Parent(s) Email *
Emergency Contact Name & Number (Non-Parent)  *
Student(s) Detail
Provide student(s) detail to best help student profile during after school care. If you have more than one student please provide their information on the same registration. 
**Sibling students discount available. 
Student(s) First & Last Name
*
Student(s) Age *
Required
Student(s) Grade Level *
Required
Student(s) School Name & School Address *
Reading  *
Required
Math  *
Required
Student(s) Full Birth Date *
Student(s) Insurance  *
Student(s) Medication  *
Required
Student(s) Attendance 
Acknowledge the days your student will attend after school. Please note weekly rate is the same no matter the amount of days or time spent at after school care. The goal is for the student to attend as much as possible this 2023-2024 school year. 
Student(s) Days Attending  *
Required
Student(s) Snack-Lunch & Pick Up Time
Define student snack preference and parental agreement to picking student up on time.
Student(s) Snack- Preference  *
I agree to pick up no later than 6:30pm. *
Student(s) Concerns
Share any concerns to best help student. If none select none, if any comment in others.
Behavior Concerns *
Required
Medical Concerns *
Required
Allergy Concerns *
Required
Payment Plans & Option 
Select payment plan that suit your weekly balance as well as the method of payment that will work best.
Payment Plan (Due Every Friday) September 1, 2023 is the first Friday payments are accepted for students who start September 4, 2023. *
Required
Payment Method Preference  *
Thank you for completing the 336 Scholar After School Care Registration! For any further communication, please contact us at 704-738-5782 or inquire@whatsupgenius.com. 
We look forward to creating excellence with your student and in the communities. Tell another parent and share flyer with teachers as well as schools! Thank you!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy