After-School Care Registration
@ Prentiss Christian School

Please fill out the form completely, answering all questions. After-School Care is available ONLY for students at Prentiss Christian School.
Sign in to Google to save your progress. Learn more
Student Name(s), Age(s), & Grade(s) *
Parent or Guardian Name(s) *
Parent Cell Phone Number(s): This will be used to contact you and also to add you to After-School Care text message notifications. *
Emergency Notification(s) - Other than parent/guardian. Include name AND phone number. *
Pick-up Rights: List those who can pick-up your child/children from after-school care. Your child will NOT be released from after-school care with anyone other than you or those on this list. *
Fees/Rules
After-School Care will cost $10/day ($5/day for additional children from the same household). After-School Care runs from 3:00 p.m. until 5:30 p.m. A late pick-up charge will be assessed after 5:35 p.m. After-School Care will not be available on 1/2 days or when we dismiss early due to an emergency (i.e. bad weather).
I agree to pay all fees associated with my child attending after-school care at Prentiss Christian School. *
Required
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