2022-2023 After-School Care Registration
After-School Care (ASC) is preparing for the 2022-2023 school year. As Collegium’s enrollment numbers continue to increase, we anticipate a very strong interest in the ASC program. Please complete/submit this form and send the appropriate fees as outlined below. ASC registration begins Monday, March 14th (for returning families ) and Monday, April 4th (for new families). Registration ends Friday, May 13th at 3:00 p.m.

In order to register your child(ren)for the 2022-2023 ASC program, please do the following:
     #1. Complete the form below.
     #2. Pay the non-refundable registration fee – $30.00 per child or $50.00 per family.
     #3. Pay the August 2022 ASC tuition in the amount of $330.00 per child
   
Please submit fees to:
Collegium Charter School
Attn: Ms. LaNae Horsey
435 Creamery Way, Suite #300,
Exton, PA 19341

Fees must be submitted in a sealed envelope with the ASC student(s) first and last names indicated on the front. Fees must be paid-in-full before a child can be placed on the waiting list and prior to a student beginning in the program. Fees must be paid-in-full by Friday, May 13, 2022.

The 2022-2023 ASC registration fee is not applied to the August 2022 tuition and it is non-refundable. Full monthly tuition is due per child regardless of the number of days your child(ren) attends. There will be no additional charge for care on scheduled early dismissal days. Monthly tuition rates are adjusted rates as they have been divided out equally over an 11 month period to cover the entirety of the 2022-2023 school year.  Monthly tuition is not adjusted for weather-related or emergency school closings.

Confirmation of registration will be provided via email. Once registration is confirmed, the August 2022 monthly tuition is non-refundable unless Collegium is able to fill your child’s space in the program with another student. If we cannot fill the space, the monthly tuition will not be refunded.

Questions? Please contact Ms. LaNae Horsey (lhorsey@ccs.us).
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Child's First Name *
Please list the first name of the child you want to register in the ASC program.
Child's Last Name *
Please list the last name of the child you want to register in the ASC program.
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's 2022-2023 Grade level *
Remember, 2022-2023 begins in August 2022.
Child's Medical Alerts *
If medical alerts do not exist, please select "N/A". If medical alerts exist, please describe in "Other". In the event of an emergency, every effort will be made to notify parents/guardians. If necessary, a child(ren) will be transported to the closest medical facility by emergency vehicle. We will continue to attempt to notify parents/guardians when possible.
Child's Allergies *
If allergies are not known, please select "N/A". If known allergies exist, please describe in "Other". In the event of an emergency, every effort will be made to notify parents/guardians. If necessary, a child(ren) will be transported to the closest medical facility by emergency vehicle. We will continue to attempt to notify parents/guardians with possible.
Child's Dietary Restrictions *
If dietary restrictions are not applicable, please select "N/A". If dietary restrictions exist, please describe in "Other". In the event of an emergency, every effort will be made to notify parents/guardians. If necessary, a child(ren) will be transported to the closest medical facility by emergency vehicle. We will continue to attempt to notify parents/guardians with possible.
Child's Street Address *
Child's City *
Child's Zip Code *
Parent/Guardian #1 First Name *
Parent/Guardian #1 Last Name *
Parent/Guardian #1 Home Phone Number *
Please provide phone number as XXX-XXX-XXXX. If you do not have a Home Phone Number, please write "N/A".
Parent/Guardian #1 Cell Phone Number *
Please provide phone number as XXX-XXX-XXXX. If you do not have a Cell Phone Number, please write "N/A".
Parent/Guardian #1 Work Phone Number *
Please provide phone number as XXX-XXX-XXXX. If you do not have a Work Phone Number, please write "N/A".
Parent/Guardian #1 Primary Email Address *
ASC registration confirmation is provided via email message. Please provide your primary email address below to receive registration confirmation and any additional information related to the ASC program.
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Parent/Guardian #2 Home Phone Number
Please provide phone number as XXX-XXX-XXXX. If you do not have a Home Phone Number, please write "N/A".
Parent/Guardian #2 Cell Phone Number
Please provide phone number as XXX-XXX-XXXX. If you do not have a Cell Phone Number, please write "N/A".
Parent/Guardian #2 Work Phone Number
Please provide phone number as XXX-XXX-XXXX. If you do not have a Work Phone Number, please write "N/A".
Parent/Guardian #2 Primary Email Address
Need To Register a Sibling for 2022-2023? *
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