June Registration for Before and After School (K-6)

Thank you for utilizing our Before & After School Program! Preregistration is essential for our program to ensure we have enough staff, snacks and materials available to provide a fun and positive experience for all. Registration forms are due by the 25th of the month prior to the month you are registering for (e.g. registration for April is due by March 25th). Afterwards, you will receive an invoice from Ms. Becca based on the days you have registered for. June afterschool payments are due by June 5th.

Please understand that late registration will result in a $5.00 fee on top of the cost of care. It is also important to note that our program is over at 5:30. We understand that emergencies may arise and if this does happen, please call us and let us know as early as possible that you may be late. There is a $5.00 late fee for every ten minutes that you are late. Repetitive drop-ins, late pick ups, and/or late registration could result in ineligibility from the program.

PLEASE NOTE THAT DROP-IN CARE WILL NOT BE AVAILABLE AFTER JUNE 5TH.

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Email *
Morning Hours: 7:00 am - 8:30 am
Afternoon Hours: Dismissal - 5:30 pm
Student's Name  *
Grade and Teacher
If you have already filled out a registration form this school year, you may skip the following questions and go straight to the registration section.
Address
Date of Birth
Caregivers Name(s) and Relationship to Student
Please list primary contact person first
Best Phone Number to Call
Please list names and numbers in order of contact preference
Emergency Contact
Name, number, and relationship to student
People authorized to pick up child

People NOT authorized to pick up child

Child's Allergies
Anything else we should know about your child
Please register for care below by indicating which days/times your child will attend

Before School: 
Drop off after 7:45 am = half morning
Drop off before 7:45 am = full morning

After School: 
Pick up before 4:30 pm = half afternoon 
Pick up after 4:30 pm = full afternoon
* On early releases: 
Pick up before 3:45 pm = half afternoon 
Pick up after 3:45 pm = full afternoon
Everyday
Only select this option if your child is to attend Before or After School every day that care is available (otherwise, scroll down to select specific days).
Mondays
Before School (half AM)
Before School (full AM)
After School (half PM)
After School (full PM)
6/2/25
6/9/25
6/16/25 (Before School ONLY; 12:30 release - After School NOT Available)
Tuesdays 
Before School (half AM)
Before School (full AM)
After School (half PM)
After School (full PM)
6/3/25
6/10/25
Wednesdays
* On all early releases: 
Pick up before 3:45 pm = half PM | Pick up after 3:45 pm = full PM
Before School (half AM)
Before School (full AM)
After School (half PM)
After School (full PM)
6/4/25
6/11/25 (1:50 dismissal)
Thursdays
Before School (half AM)
Before School (full AM)
After School (half PM)
After School (full PM)
6/5/25
6/12/25
Fridays
Before School (half AM)
Before School (full AM)
After School (half PM)
After School (full PM)
6/6/25
6/13/25
Do you understand that the Before and After School Program is not responsible for lost or broken items, and all toys and electronics should remain at home?
 *
Do you understand that you will be charged $5.00 for every 10 minutes you are late to pick up your child, and that repeated late fees can lead to termination from the Before and After School Program? 
 *
Do you understand that payments are due prior to the 15th of each month and that lack of payment will result in ineligibility from the program? *
A copy of your responses will be emailed to the address you provided.
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