Extended Care - Summer 2024

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Flexible weekly enrollment from 7/1/24 - 8/2/24 (closed on 7/4 & 7/5)

Early Drop Off from 8:30 - 9:00 a.m.: FREE
Extended Hours 3:30 - 5:30 p.m.: $80 per week (7/1-7/3: $48)

Student's First Name *

Student's Last Name *

Allergies *

Full Address *

Parent/ Guardian #1 Full Name *

Parent/Guardian #1 Phone Number *

Parent/ Guardian #2 Full Name *

Parent/Guardian #2 Phone Number *

Main email address for contact *

7/1-7/3, $48

7/8-7/12: $80

/15-7/19: $80

7/22-7/26: $80

7/29-8/2: $80

Required

Pay due upon registration via: *

Cash or Check (payable to HCCS)

ACH (default payment method if account is on file)

Emergency Contact (other than parent or primary caregiver) - Full Name: *

Relation to student: *

Phone Number: *

Other Terms & Conditions

I agree to the following terms as indicated by checking the box next to each statement below:

Enrollment is full week. No credit will be given for absences.

Required

Late pick-up from aftercare after 5:30pm will result in a fee of $10 for the first 15 minutes, after which $20 will apply.

Required

I will give at least 7 days written notice for cancellation or changes. Failure to give 7 days advance written notice for cancellation or enrollment changes will result in payment not being prorated or refunded.

Required

If paying by check, I understand that my bank statement will serve as my receipt.

Required

$35 fee will be charged for non-sufficient funds or closed accounts.

Required

We reserve the right to cancel the class when necessary. This may include, but not limited to, insufficient enrollment, staffing issues, or circumstances beyond our control. We will make every effort to contact you about the cancellation and will take steps to compensate participants for lost time.

Required

Thank You.

Hope Chinese Charter School does not unlawfully discriminate on the basis of race, color, creed, religion, national origin, gender, status with regard to public assistance, disability, sexual orientation, age nor any other protected class. HCCS also makes reasonable accommodations for students with disabilities, special needs and limited English proficiency.

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