SELP Financial Agreement - 2023-24
To register and confirm your spot, you must pay your $180 deposit, complete this form, the enrollment form, and medical form to be signed by a doctor. If you have a completed medical form on file for EXCEL, you may submit a copy of that.  

The cost of the program is as follows:
  • Before care & After care - $80.00/weekly; $160.00/bi-weekly
  • Before care ONLY - $30.00/weekly; $60.00/bi-weekly
Once this form is completed, you will receive an invoice from SEED's Finance Director, Ms. Ana Jacobs. Your enrolllment will be complete once we receive all required paperwork and payment as long as slots are still available. We look forward to having your scholar(s) as part of the SEED Extended Learning Program (SELP).


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Email *
1. Today's Date *
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2. Hours Seeking Enrollment *
3. Scholar's Last Name *
Please type the name of the program participant below.
4. Scholar's First Name *
Please type the name of the program participant below.
5. Scholar's Home Address *
6. Scholar's Grade Level *
7. Scholar's Birth Date *
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8. Scholar's Age
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